A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of Pediculosis humanus capitis. Which of the following should the nurse include in the teaching?
Apply a topical corticosteroid ointment to the scalp.
Soak hair brushes and combs in soapy water.
Wash the bed linens in hot water
Clean the child's toys with 1:10 bleach solution.
The Correct Answer is D
Cleaning the child's toys with a 1:10 bleach solution is an important step in the management of Pediculosis humanus capitis, commonly known as head lice. This solution helps to kill any lice or eggs that may be present on the toys and prevents re-infestation. It is crucial to clean the toys thoroughly to eliminate any potential sources of re-infestation.
Let's discuss why the other options are not the correct answers:
a) Apply a topical corticosteroid ointment to the scalp:
Topical corticosteroid ointments are not used to treat head lice. They are typically used for conditions such as inflammation, itching, or certain skin disorders. Applying a corticosteroid ointment will not effectively eliminate the lice infestation.
b) Soak hair brushes and combs in soapy water:
Soaking hair brushes and combs in soapy water is a good practice for general hygiene, but it is not sufficient for killing lice and their eggs. Head lice require more aggressive measures for eradication, such as using specific lice-killing shampoos and thorough combing with a fine-toothed comb.
c) Wash the bed linens in hot water:
While washing bed linens in hot water is an important step in controlling head lice, it is not the most relevant option in this particular scenario. The question specifically asks about teaching for parents of a school-age child with an active case of head lice. Cleaning the child's toys, which can be a potential source of reinfestation, is a more pertinent instruction in this context.
Therefore, the most appropriate action to include in the teaching is to clean the child's toys with a 1:10 bleach solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. "The machine is programmed to prevent you from administering more than a safe dose."
When reinforcing teaching about epidural PCA (patient-controlled analgesia) with a client in active labor, it is important for the nurse to inform the client about the safety features of the machine. By explaining that the machine is programmed to prevent the client from administering more than a safe dose, the nurse reassures the client that they have control over their pain relief while minimizing the risk of overdose.
Option b, "During medication administration, you will not be able to move your legs freely," is not an accurate statement regarding epidural PCA. While epidural analgesia may cause temporary weakness or loss of sensation in the lower body, the ability to move the legs freely is not necessarily completely impaired. The degree of mobility can vary depending on the dosage and specific characteristics of the epidural.
Option c, "This method of pain control will shorten the second stage of labor," is not a valid statement. Epidural PCA is primarily used for pain relief during labor and delivery but does not directly affect the progression or duration of the second stage of labor, which involves pushing and the delivery of the baby.
Option d, "This type of anesthesia commonly causes a postpartum headache," is also incorrect. While headaches can occur as a potential side effect of epidural anesthesia, they are not specifically associated with epidural PCA. Postpartum headaches can have various causes and are not exclusively related to the use of epidural PCA.
By emphasizing the safety features of the machine and explaining that it prevents the administration of excessive doses, the nurse ensures that the client understands the appropriate use of the epidural PCA for pain control during labor.
Correct Answer is C
Explanation
Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.
a) "I am lovistrated" is an example of neologism, which is the creation of new words.
b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.
d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.
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