The school nurse is conducting pediculosis capitis checks. A child with a positive head check would have which finding?
Lesions in the scalp that extend to the hairline or neck.
Circular lesion with raised edges and central clearing and itching
White sacs attached to the hair shafts in the occipital area
Maculopapular lesions behind the ears.
The Correct Answer is C
A. While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B. This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C. In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D. While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4.5"]
Explanation
1 kilogram equals 2.2 pounds. The child weighs 20 pounds, which is approximately 9.09 kilograms (20 / 2.2).
The dosage prescribed is 10 mg/kg, so the child's dose is 90.9 mg (10 mg/kg * 9.09 kg).
Since the available medication concentration is 100 mg/5 mL, divide the dose needed by the concentration to find the volume to administer: 90.9 mg * (5 mL / 100 mg) equals 4.545 mL.
Rounded to the nearest tenth, the nurse should administer 4.5 mL of ibuprofen.
Correct Answer is D
Explanation
A. While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B. A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C. While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D. Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.
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