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

Answer and Explanation

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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Correct Answer is C

Explanation

A. A CT scan is not typically used to assess febrile seizures or to diagnose meningitis in this context. CSF analysis is more relevant.
B. While an EEG could be helpful for diagnosing seizures, it is not the priority in this case where an infection (meningitis) is suspected.
C. As mentioned in question 36, CSF analysis is essential in diagnosing meningitis, especially in infants presenting with seizures and fever. The nurse would anticipate this as the most appropriate diagnostic test to confirm meningitis or other CNS infections.
D. Blood cultures are helpful for identifying systemic infection but are not the first step in diagnosing meningitis, where CSF analysis is more specific.

A. Initiate isolation protocols. B. Administer IV antibiotics. C. Prepare for a lumbar puncture. D. Obtain blood cultures.

Correct Answer is A

Explanation

A. Bacterial meningitis is highly contagious, and isolation precautions are necessary to prevent the spread of the infection to others. This should be the nurse's first action to protect both the child and others.
B. While antibiotics are crucial in treating bacterial meningitis, initiating isolation protocols is the first priority to prevent transmission to others.
C. A lumbar puncture is needed to confirm the diagnosis of meningitis, but isolation protocols should be established first to prevent spread.
D. Blood cultures are important for diagnosing bacterial meningitis but are secondary to ensuring proper isolation to prevent contagion.

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The nurse is taking care of a child with scables. Which primary clinical manifestation should the nurse expect to assess with this disease?

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