The nurse is taking care of a child with scables. Which primary clinical manifestation should the nurse expect to assess with this disease?
Redness
Pruritus
Edema
Maceration
The Correct Answer is B
A. Redness can occur with skin irritation or infection, but it is not the defining symptom of scabies. Pruritus (itching) is more characteristic.
B. The hallmark symptom of scabies is intense itching (pruritus), particularly at night, due to an allergic reaction to the mite infestation in the skin.
C. Edema is not a primary symptom of scabies. It may occur as a result of a secondary infection, but it is not typically associated with the infestation itself.
D. Maceration refers to the softening or breakdown of the skin from excessive moisture, which could happen if the skin is scratched excessively. However, maceration is not a hallmark symptom of scabies.
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Related Questions
Correct Answer is D
Explanation
A. A child with a fever due to a viral infection may pose an infection risk to the immunocompromised leukemia patient.
B. A child recovering from surgery may have a wound or infection risk, which could also be a concern for a child receiving chemotherapy.
C. A child with chickenpox is highly contagious and should not be in the same room as an immunocompromised child.
D. A child with asthma is not immunocompromised and is less likely to pose an infection risk to a child undergoing chemotherapy.
Correct Answer is C
Explanation
A. A CT scan is typically used to evaluate structural issues in the brain, such as tumors or bleeding, rather than infections like meningitis.
B. An EEG is used to diagnose epilepsy or other seizure disorders, but it would not help in diagnosing the cause of a febrile seizure related to a possible infection.
C. In a 5-month-old with a seizure and high fever, meningitis is a critical consideration. The analysis of CSF through a lumbar puncture is required to confirm or rule out meningitis. Fever with a seizure in infants may indicate an infection such as bacterial or viral meningitis, making CSF analysis essential.
D. While blood cultures can help identify an infection, CSF analysis is more specific in cases of suspected meningitis, as it directly tests for infection in the central nervous system.
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