An adult client receives a prescription for permethrin (Acticin Cream 5%) to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding the eyes. Which additional instruction should the nurse provide?

Remove the cream from the skin immediately if pruritis occurs.

Reapply cream in seven days to prevent re-infestation.

Shower or bathe 8 to 14 hours after treatment to remove cream.

Avoid areas between fingers and toes during application.

Answer and Explanation

The Correct Answer is C

Choice A: Permethrin cream may cause temporary itching and skin irritation as it works to eliminate the scabies mites. Instructing the client to remove the cream immediately if pruritis occurs is not necessary; it is a common and expected side effect during treatment.

Choice B: Reapplication of permethrin is not typically done in seven days unless directed by the healthcare provider. A single application is often effective in treating scabies.

Choice C: Showering or bathing 8 to 14 hours after permethrin treatment is a common instruction to remove the cream and dead mites. This is an important part of the treatment process.

Choice D: Avoiding areas between fingers and toes during application is not necessary, as permethrin is generally safe for use on these areas. However, it should not be applied to the face or near the eyes.

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Correct Answer is A

Explanation

Choice A: Keeping a record of food and drinks consumed daily, often referred to as food journaling or keeping a food diary, is a recommended initial approach to a weight loss plan. It helps clients become aware of their eating habits and can assist in identifying areas where dietary changes may be needed.

Choice B: Participating in a group exercise class 3 times a week is a beneficial component of a weight loss plan, but it is not specifically related to the initial approach to weight loss.

Choice C: Engaging in strenuous activity for an hour daily can be part of a weight loss plan, but it may not be the initial approach for everyone, especially if the client is not currently physically active. The initial approach often involves dietary changes and gradually increasing physical activity.

Choice D: Planning low carbohydrate and high protein meals can be a dietary strategy for weight loss, but it may not be the initial approach for all clients. Dietary recommendations should be individualized based on the client's preferences and needs.

Correct Answer is ["591"]

Explanation

One ounce is equivalent to 29.57 mL, so 12 ounces of coffee is equal to 354.84 mL. The cup of milk is usually measured as 8 ounces, which is 236.59 mL.

The oatmeal may also contain some fluid, but the amount is not given, so it cannot be counted.

Therefore, the total fluid intake at breakfast is 354.84 + 236.59 = 591.43 mL.

The nurse should document this value in the client's record, rounding it to the nearest whole number, which is 591 mL.

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An adult client receives a prescription for permethrin (Acticin Cream 5%) to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding the eyes. Which additional instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has a body mass index (BMI) of 30 is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?

Correct Answer is A

Explanation

The nurse assesses a client's fluid intake at breakfast, which consisted of oatmeal, a cup of milk, and 12 ounces of coffee. How many mL should the nurse document in the client's record? (Enter numerical value only.)

Correct Answer is ["591"]

Explanation

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