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?

"I will stop applying the scabicidal cream once my itching stops."

"I understand that it's essential to apply the scabicidal cream again after one week."

"I will make sure to cover all areas of my body with the scabicidal cream during each application."

"I will continue applying the scabicidal cream even if my rash starts to improve."

Answer and Explanation

The Correct Answer is A

Explanation: It is essential for the client to complete the full course of prescribed scabicidal treatment, even if itching improves. Stopping the treatment prematurely may lead to incomplete eradication of the mites and possible reinfestation.

Incorrect choices: b. Applying the scabicidal cream again after one week is necessary to ensure all mites are eliminated, including any that may have hatched since the initial treatment.

c. Covering all areas of the body with the scabicidal cream during each application is essential to ensure that all affected areas are treated and the mites are eradicated.

d. Continuing to apply the scabicidal cream even if the rash starts to improve is important to complete the treatment and prevent recurrence.

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Correct Answer is B

Explanation

Explanation: Scabies is a skin infestation caused by the Sarcoptes scabiei mite. The mite burrows into the skin, laying eggs and causing intense itching and a characteristic rash.

Incorrect choices: a. "Scabies is a bacterial skin infection caused by Staphylococcus aureus." - This statement is incorrect as scabies is caused by a parasitic mite, not a bacterial infection.

c. "Scabies is an autoimmune skin disorder that results in excessive skin shedding." - This statement is incorrect. Scabies is not an autoimmune disorder, and excessive skin shedding is not a characteristic feature of the condition.

d. "Scabies is a fungal infection caused by the fungus Candida albicans." - This statement is incorrect as scabies is caused by a mite, not a fungal infection.

A. Pustules and papules with a honey-colored crust B. Silvery-white plaques with a predilection for extensor surfaces C. Linear burrows and intense itching, especially at night D. Raised, red welts with severe pruritus triggered by allergens

Correct Answer is C

Explanation

Explanation: One of the hallmark clinical manifestations of scabies is the presence of linear burrows on the skin, which are caused by the mite's burrowing activity. The itching is typically more severe at night.

Incorrect choices: a. Pustules and papules with a honey-colored crust - This description is more characteristic of impetigo, a bacterial skin infection, not scabies.

b. Silvery-white plaques with a predilection for extensor surfaces - This description is typical of psoriasis, not scabies.

d. Raised, red welts with severe pruritus triggered by allergens - This description is more characteristic of urticaria (hives), which is an allergic skin reaction, not scabies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education to a group of students about scabies. Which statement accurately describes scabies?

Correct Answer is B

Explanation

The nurse is assessing a client with suspected scabies. Which clinical manifestation is commonly associated with scabies?

Correct Answer is C

Explanation

The nurse is providing education on the mode of transmission for scabies. Which statement by the client indicates a need for further teaching?

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 assessing a child with suspected scabies. Which skin finding is commonly observed in pediatric scabies?

Scabies is caused by:

The nurse is assessing a client with suspected scabies. Which area of the body is commonly affected by scabies infestation?

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

The nurse is providing education to a group of individuals on preventing scabies infestation. Which measure should the nurse include in the teaching?

The nurse is providing education to a family member of a client with scabies. Which statement by the family member indicates a need for further teaching?