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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation: During treatment for scabies, it is essential for the client to avoid close personal contact with others to prevent the spread of the mites. This includes avoiding work, school, and other social settings until the treatment is completed and the infestation is resolved.
Incorrect choices: a. Avoiding hugging and shaking hands is appropriate to prevent transmission to others.
b. Avoiding sharing personal items like towels and clothes is important to prevent the spread of scabies to others.
d. Informing sexual partners about the need for treatment is crucial to prevent reinfestation and transmission.
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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