The nurse is reviewing the diagnostic criteria for scabies. Which statement accurately describes the definitive method for confirming scabies infestation?

Skin biopsy showing hyperkeratosis and parakeratosis

Microscopic examination of skin scrapings revealing Sarcoptes scabiei mites or eggs

Positive Mantoux test result indicating exposure to Mycobacterium tuberculosis

Serological testing for antibodies against the scabies mites

Answer and Explanation

The Correct Answer is B

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.

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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.

A. High fever B. Intense itching, especially at night C. Yellow discoloration of the skin D. Rapid breathing

Correct Answer is B

Explanation

Explanation: Intense itching, especially at night, is a common symptom of scabies infestation. The itching is a result of the body's allergic reaction to the mite and its eggs.

Incorrect choices:

a. High fever: Fever is not a typical symptom of scabies. Itching is the primary symptom.

c. Yellow discoloration of the skin: Yellow discoloration of the skin is not a symptom of scabies. Itching is the main characteristic.

d. Rapid breathing: Rapid breathing is not a symptom of scabies. Itching is the primary complaint.

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The nurse is reviewing the diagnostic criteria for scabies. Which statement accurately describes the definitive method for confirming scabies infestation?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with scabies about infection control measures to follow at home. Which statement by the client indicates a need for further education?

Correct Answer is D

Explanation

Which of the following is a common symptom of scabies infestation?

Correct Answer is B

Explanation

The nurse is discussing the prognosis of scabies with a client. Which statement made by the client indicates a need for further clarification?

The nurse is caring for a group of clients with scabies in a healthcare facility. Which action by the nurse demonstrates appropriate infection control measures?

The nurse is reviewing the diagnostic criteria for scabies. Which statement accurately describes the typical location of scabies burrows?

Scabies is caused by:

The nurse is providing education to a group of clients in a community setting about infection control measures for scabies. Which statement by a client indicates a need for further education?

The nurse is caring for a child with scabies. Which nursing intervention is essential to prevent the spread of scabies to family members?

If one member of a household is diagnosed with scabies, what action should be taken for other household members?

The nurse is teaching a client with scabies about the importance of completing the full course of prescribed scabicidal treatment. Which statement by the client indicates a need for further teaching?