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The nurse is assessing a client with suspected scabies. Which clinical manifestation is commonly associated with scabies?

A.

Pustules and papules with a honey-colored crust

B.

Silvery-white plaques with a predilection for extensor surfaces

C.

Linear burrows and intense itching, especially at night

D.

Raised, red welts with severe pruritus triggered by allergens

Answer and Explanation

The Correct Answer is C

Explanation: One of the hallmark clinical manifestations of scabies is the presence of linear burrows on the skin, which are caused by the mite's burrowing activity. The itching is typically more severe at night.

Incorrect choices: a. Pustules and papules with a honey-colored crust - This description is more characteristic of impetigo, a bacterial skin infection, not scabies.

b. Silvery-white plaques with a predilection for extensor surfaces - This description is typical of psoriasis, not scabies.

d. Raised, red welts with severe pruritus triggered by allergens - This description is more characteristic of urticaria (hives), which is an allergic skin reaction, not scabies.


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Related Questions

Correct Answer is D

Explanation

Explanation: Sharing personal items can spread scabies to others, even if they don't have any itching or symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.

Incorrect choices: a. Washing clothing and bedding in hot water and drying them on high heat can effectively kill scabies mites and their eggs, preventing reinfestation.

b. Vacuuming and cleaning living areas and furniture can help remove any mites that may be present, reducing the risk of reinfestation.

c. Continuing to apply scabicidal cream even after symptoms improve is necessary to ensure all mites are eliminated and prevent recurrence.

Correct Answer is D

Explanation

Explanation: This statement is incorrect. Scabies is not a chronic condition that requires lifelong management. With proper treatment, scabies can be cured, and symptoms usually improve within a few days. There is no need for lifelong management unless the client is reinfected or exposed to scabies again.

Incorrect choices: a. This statement is incorrect. Scabies infestation does not typically clear up on its own without treatment. It requires specific medications to eliminate the mites and eggs.

b. This statement is correct. With appropriate treatment, scabies symptoms should improve within a few days.

c. This statement is correct. Once scabies is successfully treated, there should be no reinfestation if the client avoids contact with infested individuals or contaminated items.

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