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 D
Explanation
Choice A rationale
Insomnia is a common symptom of postpartum depression, often characterized by difficulty falling or staying asleep, or waking up early. This sleep disturbance, when coupled with other symptoms such as persistent sadness, loss of interest in activities, and fatigue, is a key diagnostic criterion for the condition.
Choice B rationale
Intermittent crying in the first week postpartum, now resolved, is a common symptom of the "baby blues.”. The baby blues are a transient condition, typically resolving within the first two weeks. Postpartum depression, in contrast, involves more severe and persistent symptoms lasting longer than two weeks.
Choice C rationale
Delusions are a symptom of postpartum psychosis, a rare and severe mental health condition that is distinct from postpartum depression. Postpartum psychosis involves a break from reality and is a psychiatric emergency. Delusions are not characteristic of postpartum depression.
Choice D rationale
Induced vomiting is a symptom associated with eating disorders, such as bulimia nervosa. While eating disorders can coexist with postpartum depression, induced vomiting is not a defining symptom of postpartum depression itself. It is a separate clinical finding.
Correct Answer is B
Explanation
Choice A rationale
Ignoring temper tantrums can sometimes be effective, but it may also escalate the behavior if the child feels their needs are not being met. From a psychological standpoint, the child is testing boundaries and seeking attention, and ignoring the behavior can be perceived as a lack of engagement, potentially intensifying the tantrum in an attempt to gain a reaction. This approach doesn't address the underlying developmental need for control and independence.
Choice B rationale
Distraction is a highly effective developmental strategy for toddlers. Toddlers have a short attention span and are easily redirected. By introducing a new, engaging activity, the nurse can shift the child's focus away from the source of frustration that triggered the tantrum. This technique prevents the tantrum from escalating and teaches the child to move on from a distressing situation without a power struggle, which is an important step in emotional regulation.
Choice C rationale
A toddler's cognitive development is not yet at a level where they can fully comprehend complex explanations about social norms or acceptable behavior. Their reasoning skills are still very primitive. Attempting to reason with a toddler during a tantrum is often futile and can even prolong the tantrum by giving the child attention for the negative behavior, thereby reinforcing it.
Choice D rationale
Placing a child in their room, or "time-out," is a discipline technique more appropriate for older children who can understand cause and effect. For a toddler, it can be perceived as abandonment or punishment without a clear connection to their behavior. This approach may not be effective and can cause fear or anxiety, failing to teach the child how to manage their emotions constructively.
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