The nurse is providing phone advice to the father of a 7-year-old child who has lice. The nurse recommends:
Applying oil to the scalp for the next ten days.
Throwing away all stuffed animals.
Thorough cleaning of brushes, hats, and linens and staying home until there are no more nits.
Applying a pediculicide and thoroughly combing the nits out of the hair.
The Correct Answer is D
Choice A reason: This is not a correct recommendation, as oil may not be effective in killing lice or nits. Oil may also make the hair greasy and difficult to comb.
Choice B reason: This is not a necessary recommendation, as throwing away all stuffed animals may be wasteful and upsetting for the child. Stuffed animals can be treated by sealing them in plastic bags for two weeks or by putting them in a dryer on high heat for 20 minutes¹.
Choice C reason: This is a good recommendation, as thorough cleaning of brushes, hats, and linens can help prevent the spread of lice to other people or items. However, staying home until there are no more nits is not required, as nits are not contagious and do not pose a health risk².
Choice D reason: This is the best recommendation, as applying a pediculicide and thoroughly combing the nits out of the hair can effectively treat lice infestation. Pediculicides are medicated shampoos or lotions that kill lice and some nits. Combing the nits out of the hair can remove any remaining eggs and prevent reinfestation¹².
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not the correct answer, as the dose of cefotaxime is not safe for the child. The dose of cefotaxime is 700 mg IV q6 hrs, which means 2800 mg per day. The safe dose range for cefotaxime is 50-200 mg/kg/day, which means 1000-4000 mg per day for a 20 kg child. The dose of cefotaxime is above the safe dose range and may cause toxicity or adverse effects.
Choice B reason: This is the correct answer, as the dose of cefotaxime is not safe for the child. The dose of cefotaxime is 700 mg IV q6 hrs, which means 2800 mg per day. The safe dose range for cefotaxime is 50-200 mg/kg/day, which means 1000-4000 mg per day for a 20 kg child. The dose of cefotaxime is above the safe dose range and may cause toxicity or adverse effects.
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as somnolence, hypotension, and oliguria are signs of decompensated shock, not compensated shock. These indicate that the child's blood pressure and urine output are dropping, and that the brain is not receiving enough oxygen.
Choice B reason: This is not a correct statement, as hypotension is a sign of decompensated shock, not compensated shock. This indicates that the child's blood pressure is falling below normal levels, and that the compensatory mechanisms are failing.
Choice C reason: This is not a correct statement, as bradycardia is a sign of irreversible shock, not compensated shock. This indicates that the child's heart rate is slowing down, and that the heart is failing to pump blood effectively.
Choice D reason: This is the correct statement, as irritability, tachycardia, and poor peripheral perfusion are signs of compensated shock. These indicate that the child is experiencing anxiety and discomfort, that the heart is beating faster to maintain blood pressure, and that the blood vessels are constricting to divert blood to vital organs.
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