The nurse is providing education to a family member of a client with scabies. Which statement by the family member indicates a need for further teaching?
"I should wash all the client's clothes and bedding in hot water and dry them on high heat."
"I can use the same towel as the client as long as I don't have any skin rashes."
"I should vacuum and clean the client's living areas and furniture to remove any mites."
"I will avoid close contact with the client until the scabies is completely treated."
The Correct Answer is B
Explanation: Sharing personal items like towels can spread scabies to others, even if they do not have any skin rashes or symptoms. It is essential for the family member to avoid sharing personal items to prevent transmission.
Incorrect choices: a. Washing the client's clothes and bedding in hot water and drying them on high heat can effectively kill scabies mites and their eggs, preventing transmission to other family members.
c. Vacuuming and cleaning the client's living areas and furniture can help remove any mites that may be present, reducing the risk of reinfestation.
d. Avoiding close contact with the client until the scabies is completely treated is crucial to prevent transmission and spread of the infestation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation: The definitive method for confirming scabies infestation is the microscopic examination of skin scrapings, which can reveal the presence of Sarcoptes scabiei mites, eggs, or fecal pellets.
Incorrect choices: a. Skin biopsy may show hyperkeratosis and parakeratosis, but it is not the definitive method for diagnosing scabies. It can help rule out other skin conditions with similar manifestations.
c. The Mantoux test is used for detecting exposure to tuberculosis, not scabies.
d. Serological testing for antibodies against scabies mites is not typically used for diagnosing scabies and may not provide accurate results.
Correct Answer is C
Explanation
Explanation: Frequent handwashing is an essential preventive measure for scabies infestation. It helps reduce the risk of acquiring the mites through indirect contact with infested items.
Incorrect choices:
a. Avoiding contact with animals: Scabies is not typically transmitted from animals to humans. It is primarily spread through direct skin-to-skin contact with an infected person.
b. Using insect repellent: Insect repellent is not effective in preventing scabies infestation, as it is caused by a mite, not insects.
d. Avoiding crowded places: While avoiding crowded places may reduce the risk of some infections, it does not specifically prevent scabies infestation. Direct contact with an infected person or infested items is the primary mode of transmission.
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