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 D
Explanation
Choice A reason: This is not a correct statement, as parents cannot meet all of the child's needs. The child needs social interaction and physical activity to promote their growth and development. The parents should encourage the child to play with other children, as long as the activities are appropriate for the child's condition.
Choice B reason: This is not a correct statement, as constant parental supervision is not needed to avoid overexertion. The parents should monitor the child's activity level and signs of fatigue, but they should not interfere with the child's play unless necessary. The parents should also teach the child to recognize and report any symptoms of overexertion, such as chest pain, shortness of breath, or dizziness.
Choice C reason: This is not a correct statement, as the child does not need to understand that peers' activities are too strenuous. The child may feel left out or inferior if they think they cannot do what their peers can do. The child should be allowed to participate in activities that are suitable for their age and ability, and that do not pose a risk to their health.
Choice D reason: This is the correct statement, as the child will limit their own activity. The child will naturally adjust their activity level to their tolerance and comfort. The child will also learn to pace themselves and rest when needed. The child will not overexert themselves unless they are forced or pressured to do so.
Correct Answer is B
Explanation
Choice A reason: This is not the correct cause, as varicella is a viral infection that causes a blister-like rash all over the body, not just in the diaper area. Varicella also causes fever, headache, and malaise.
Choice B reason: This is the correct cause, as Candida albicans is a type of fungus that can cause diaper rash, especially after antibiotic use. Antibiotics can disrupt the normal flora of the skin and allow the fungus to grow. Candida albicans causes red, inflamed skin with small, raised bumps around the edges.
Choice C reason: This is not the correct cause, as impetigo is a bacterial infection that causes honey-colored crusts on the skin, usually around the mouth and nose. Impetigo is contagious and can spread to other parts of the body or other people.
Choice D reason: This is not the correct cause, as bacterial infection is too vague and nonspecific. Bacterial infection can cause different types of skin rashes, depending on the type and location of the bacteria. Bacterial infection may also cause other symptoms, such as fever, pus, or swelling.
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