During discharge education for a patient diagnosed with pediculosis capitis, the nurse instructs the parents on what treatment?
Throw away all stuffed animals.
Change bed linen every 12 hours.
Seal all non-washable items in airtight bags.
Soak all hair items in alcohol.
The Correct Answer is C
Choice A rationale
Throwing away all stuffed animals is an unnecessary and extreme measure. The lice and nits are unlikely to survive for an extended period off the host. Sealing the items in an airtight bag for a specific duration is a more cost-effective and practical method to ensure any lice or nits are suffocated and die, preventing re-infestation.
Choice B rationale
Changing bed linen every 12 hours is not scientifically necessary. Lice and nits can survive for a limited time off the scalp, but not long enough to warrant such frequent changes. Changing and washing bedding and clothing in hot water and drying them on high heat once a day for a few days is sufficient to kill any lice or nits that may have fallen off.
Choice C rationale
Sealing all non-washable items in airtight bags for two weeks is a highly effective method. Lice and nits require a human host for survival, feeding on blood. Without a host, they will die from starvation within one to two weeks. Sealing items suffocates any remaining lice and ensures that any nits that may hatch will also die without a food source.
Choice D rationale
Soaking all hair items in alcohol is not a standard or recommended practice. While alcohol can be a disinfectant, it is not the primary method for treating lice and may damage the items. Combing with a fine-toothed nit comb, washing in hot water, or sealing items are more proven and safer methods for eradicating lice from personal belongings and preventing re-infestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A cesarean section is a major surgical procedure that creates an incision through the abdominal wall and uterus. The most crucial assessment post-operatively is for signs of infection at the incision site. This involves inspecting the site for erythema, warmth, purulent drainage, or dehiscence, which are indicators of surgical site infection. Surgical infections can lead to significant morbidity and mortality, making this assessment paramount.
Choice B rationale
A client's plan to return to work postpartum is an important consideration for discharge planning and psychosocial support. However, it is not a direct physiological or safety assessment in the immediate postpartum period. The priority in the acute recovery phase is to monitor for potential medical complications related to the surgery and childbirth, such as infection, hemorrhage, or thrombosis.
Choice C rationale
While a perineal assessment is necessary after a vaginal delivery, it is not the most important assessment for a client who had a cesarean section. The surgical incision is the primary site of potential complications, such as infection or hemorrhage. The focus should be on the surgical site as it poses the greatest risk for immediate postoperative complications.
Choice D rationale
Breast engorgement, or the filling of breasts with milk, typically occurs between the third and fifth postpartum days. It is a normal physiological process. Assessing for this on the first postpartum day is not a priority. The most critical assessments immediately following a cesarean section involve monitoring for surgical complications, maternal vital signs, and uterine status.
Correct Answer is D
Explanation
Choice A rationale
This response is dismissive and does not address the patient's concerns. Providing accurate information empowers the patient to make informed decisions about their health. The nurse should always address patient concerns and provide education, especially when it relates to their birth experience and future reproductive health. Failing to do so can erode trust and negatively impact the patient-provider relationship.
Choice B rationale
This statement is an oversimplification and potentially inaccurate. The feasibility of a vaginal birth after a cesarean section (VBAC) depends on several factors, including the type of uterine incision. A classical vertical incision, for instance, is a strong contraindication due to a significantly increased risk of uterine rupture in subsequent pregnancies. The nurse must provide a more nuanced and accurate explanation.
Choice C rationale
This is an incorrect and potentially harmful statement. A previous cesarean section does not automatically preclude a future vaginal delivery. A vaginal birth after cesarean (VBAC) is a viable option for many individuals, particularly those who had a low transverse uterine incision. The decision is based on a careful assessment of risks and benefits with the patient's provider.
Choice D rationale
This statement is the most accurate and scientifically grounded response. The type of uterine incision is the most significant factor determining the safety of a future vaginal delivery. A low transverse incision has a lower risk of rupture during a trial of labor, making VBAC a safe option for many. A classical (vertical) incision, conversely, carries a high risk of uterine rupture, necessitating a repeat cesarean.
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