The nurse is assessing a client with suspected scabies. Which clinical manifestation is commonly associated with scabies?
Pustules and papules with a honey-colored crust
Silvery-white plaques with a predilection for extensor surfaces
Linear burrows and intense itching, especially at night
Raised, red welts with severe pruritus triggered by allergens
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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Correct Answer is B
Explanation
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. Silvery-white plaques with a predilection for extensor surfaces are characteristic of psoriasis, not scabies.
c. Pustules and papules with a honey-colored crust are indicative of impetigo, not scabies.
d. Raised, red welts with severe pruritus triggered by allergens are typical of urticaria or hives, not scabies.
Correct Answer is B
Explanation
Explanation: This statement is incorrect because scabies is not a chronic condition that requires long-term management. With proper treatment, scabies can be completely cured, and symptoms typically resolve within a few weeks. There is no need for ongoing, long-term management and regular use of scabicidal creams.
Incorrect choices: a. This statement is correct. Once treated, scabies is usually completely cured, and symptoms resolve within a few weeks.
c. This statement is correct. Proper treatment for scabies can result in symptom relief within a few days of starting the medications.
d. This statement is incorrect. Scabies is not a self-limiting condition, and it requires specific treatment to eliminate the infestation and relieve symptoms. Without treatment, scabies can persist and spread to others.
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