The nurse is caring for a child with scabies. Which nursing intervention is essential to prevent the spread of scabies to family members?
Isolating the child in a separate room until treatment is completed.
Washing the child's clothes and bedding in hot water and drying on high heat.
Applying a topical antifungal cream to the affected areas.
Placing the child in contact isolation to prevent transmission.
The Correct Answer is B
Explanation: Washing the child's clothes and bedding in hot water and drying on high heat can effectively kill the scabies mites and prevent transmission to family members.
Incorrect choices: a. Isolating the child in a separate room is not necessary for managing scabies, and it may lead to emotional distress for the child.
c. Applying a topical antifungal cream is not effective for treating scabies, as it is caused by mites, not fungi.
d. Placing the child in contact isolation is not necessary for managing scabies, as it is not highly contagious and can be managed with appropriate hygiene practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
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. 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.
Correct Answer is D
Explanation
Explanation: Sharing personal items can spread scabies to others, even if they don't have any rashes 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. Applying scabicidal cream to all areas of the skin that are itchy or rashy is necessary to treat the infestation and prevent further spread.
c. Avoiding close contact with family members until the scabies is treated is necessary to prevent transmission and spread of the infestation.
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