The nurse is caring for a child with scabies. Which statement by the child's parent indicates a need for further teaching?
"I will wash all the child's stuffed toys and belongings in hot water and dry them on high heat."
"I will apply the scabicidal cream to the child's entire body, including the scalp and neck."
"I will keep the child home from school and other activities until the scabies is treated."
"I can allow the child to play with other children as long as they don't have any skin rashes."
The Correct Answer is D
Explanation: It is essential for the child to avoid close contact with other children until the scabies is completely treated to prevent transmission.
Incorrect choices: a. Washing the child's stuffed toys and belongings in hot water and drying them on high heat can help eliminate any mites that may be present and prevent reinfestation.
b. Applying the scabicidal cream to the child's entire body, including the scalp and neck, is necessary to ensure all affected areas are treated.
c. Keeping the child home from school and other activities until the scabies is treated is crucial to prevent transmission to others and reduce the risk of spreading the infestation.
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 are not experiencing symptoms. It is essential for the client to avoid sharing personal items to prevent transmission.
Incorrect choices: a. Washing clothes, bedding, and towels in hot water and drying them on high heat can effectively kill scabies mites and their eggs, preventing reinfestation.
b. Applying the scabicidal cream to the entire body, including under the nails and between fingers and toes, is necessary to ensure all affected areas are treated.
c. Avoiding close personal contact with others is crucial to prevent transmission until the scabies is completely treated and the infestation is resolved.
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