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?
"I will wash all my clothing and bedding in hot water and dry them on high heat."
"I will vacuum and clean my living areas and furniture to remove any mites."
"I will continue applying scabicidal cream even after my symptoms improve."
"I can share my personal items with my family members as long as they don't have any itching."
The Correct Answer is D
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.
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Correct Answer is D
Explanation
Explanation: This statement is incorrect. Scabies is not a chronic condition that requires lifelong management. With proper treatment, scabies can be cured, and symptoms usually improve within a few days. There is no need for lifelong management unless the client is reinfected or exposed to scabies again.
Incorrect choices: a. This statement is incorrect. Scabies infestation does not typically clear up on its own without treatment. It requires specific medications to eliminate the mites and eggs.
b. This statement is correct. With appropriate treatment, scabies symptoms should improve within a few days.
c. This statement is correct. Once scabies is successfully treated, there should be no reinfestation if the client avoids contact with infested individuals or contaminated items.
Correct Answer is D
Explanation
Explanation: Dermoscopy is a non-invasive diagnostic tool commonly used in clinical practice to visualize the mites or burrows on the skin surface, aiding in the diagnosis of scabies.
Incorrect choices: a. Culture of skin scrapings is used to identify fungal infections, not scabies.
b. A complete blood count (CBC) may show elevated white blood cell counts (leukocytosis) in response to infection, but it is not specific for diagnosing scabies.
c. A skin biopsy may be performed in some cases, but it is not the primary diagnostic test for scabies.
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