The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?
Scales, redness and flakes on the scalp that fall off easily when scratched.
Patches of redness and alopecia with a history of recent contact with infected animals.
Linear burrows appearing under the skin with severe pruritus, especially at night.
Tiny, white, clear or brown oval specs, adhering tightly to hair shafts.
The Correct Answer is D
A. Scales, redness, and flakes that fall off easily are more consistent with seborrheic dermatitis (dandruff) rather than pediculosis capitis.
B. Patches of redness and alopecia associated with animal contact suggest tinea capitis (fungal infection), not lice.
C. Linear burrows with intense nighttime itching are characteristic of scabies, caused by mites under the skin, not head lice.
D. Tiny, white, clear, or brown oval nits (lice eggs) that adhere firmly to the hair shaft are the hallmark finding of pediculosis capitis, confirming the infestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.
Correct Answer is B
Explanation
A. Crying uncontrollably and physical illness reflect acute grief responses, not anticipatory grief.
B. Anticipatory grief occurs before an actual loss and may involve gradually detaching or preparing emotionally by reducing time spent with the loved one.
C. This reflects spiritual distress or anger rather than anticipatory grief.
D. Refusing to leave the bedside demonstrates denial or difficulty coping, not healthy anticipatory grieving.
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