A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?
Use tweezers or forceps to remove the tick, pulling up with a steady pressure.
Squeeze the tick and pull it off with bare fingers.
Spray DEET directly on to the child's skin where the tick is embedded.
Apply mineral oil to the site of attachment and wait for the tick to back out.
The Correct Answer is A
A. The appropriate method for tick removal involves using fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pulling upward with steady, even pressure. This minimizes the risk of the tick's mouthparts breaking off and remaining in the skin.
B. Using bare fingers can be unsanitary and may cause the tick to release more saliva, potentially increasing the risk of disease transmission. Squeezing the tick can also lead to the release of harmful pathogens into the bloodstream.
C. DEET is an insect repellent that is used to prevent tick bites but should not be applied to a tick that is already embedded. Applying repellent will not assist in tick removal and may cause irritation to the skin.
D. While some people believe that applying mineral oil can cause a tick to detach, this method is not recommended. It may irritate the tick and could increase the likelihood of the tick regurgitating pathogens into the skin, raising the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Patients are often advised to avoid straining during bowel movements and bending at the waist to reduce intraocular pressure and the risk of complications after cataract surgery. This is crucial for promoting healing and preventing dislodgement of the lens.
B. While good lighting can be important for safety and visibility, patients are often advised to avoid excessively bright lights or glare, especially after surgery, as it can be uncomfortable and may not be beneficial during the recovery period. Patients may need to use softer lighting to avoid discomfort.
C. After cataract surgery, patients are typically advised to lie on their back or the non-operative side to avoid pressure on the eye that underwent surgery. Lying on the abdomen is not recommended and could pose a risk to the surgical site.
D. Patients are often instructed to avoid heavy lifting for a period after surgery to prevent increased intraocular pressure and potential complications. Lifting more than 15 lbs is generally discouraged during the initial recovery phase.
Correct Answer is C
Explanation
A. While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B. This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C. In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D. While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.
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