The nurse is educating a client with scabies about the prognosis of the condition. Which statement by the client indicates a need for further clarification?
"Once treated, scabies is usually completely cured, and symptoms resolve within a few weeks."
"Scabies is a chronic condition that requires long-term management and regular use of scabicidal creams."
"Proper treatment for scabies can result in symptom relief within a few days of starting the medications."
"Scabies is a self-limiting condition, and symptoms typically improve without the need for any specific treatment."
The Correct Answer is B
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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Correct Answer is C
Explanation
Explanation: The hallmark symptom of scabies infestation is intense itching, which is often worse at night and may be severe enough to interfere with sleep.
Incorrect choices: a. Fever and chills are not typically associated with scabies, although they may be present if a secondary infection develops due to scratching.
b. Numbness and tingling sensation are not typical symptoms of scabies; they may suggest another neurological issue.
d. Muscle weakness and fatigue are not characteristic of scabies and may indicate another underlying condition.
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.
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