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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation: Providing each client with their own set of personal care items and linens helps to prevent cross-contamination and transmission of scabies between clients. This ensures infection control measures are maintained and reduces the risk of spreading the infestation.
Incorrect choices: a. Placing the clients in a common room to socialize and interact with each other may increase the risk of transmission and spread of scabies.
c. Encouraging clients to share personal items is not appropriate as it can spread scabies to others.
d. Allowing clients to use the same bathing facilities without using personal protective equipment may increase the risk of transmission and spread of scabies.
Correct Answer is D
Explanation
Explanation: Topical corticosteroids can help reduce inflammation and itching associated with scabies. They are commonly prescribed to provide relief from symptoms.
Incorrect choices: a. Applying hot packs may provide temporary relief, but it can worsen itching and spread the mites to other areas.
b. Over-the-counter antihistamines may have limited effectiveness in managing the intense itching of scabies.
c. Frequent cool showers may help soothe the skin, but they do not address the underlying cause of itching in scabies.
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