A nurse is assessing an infant who has acute otitis media.
Which of the following findings should the nurse expect? (Select all that apply.)

Choice A rationale:

Soaking combs and brushes in boiling water for 10 minutes is a good practice to kill scabies mites that might be present on these items. However, it's not the primary mode of transmission for scabies. Scabies spreads through direct, prolonged, skin-to-skin contact with a person who has scabies. While cleaning items like combs and brushes is essential, treating close contacts is more critical to prevent reinfestation.

Choice B rationale:

Treating everyone who came into close contact with the child is the correct approach. Scabies is highly contagious and can easily spread to family members and close contacts. To effectively control the spread of the infestation, everyone who has been in close contact with the infested person should be treated simultaneously, even if they do not show symptoms.

Choice C rationale:

Applying petroleum jelly to the affected areas is not a recommended treatment for scabies. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, and petroleum jelly does not effectively kill the mites. Medicated creams or lotions prescribed by a healthcare provider are the standard treatment for scabies.

Choice D rationale:

Washing the child's hair with shampoo containing ketoconazole is not a recommended treatment for scabies. Ketoconazole is an antifungal medication and is not effective against scabies mites. The primary treatment for scabies involves topical medications, such as permethrin cream or oral medications in severe cases.

Choice A rationale:

Moisten the mucosa with lemon glycerin swabs is not recommended because lemon glycerin swabs can be acidic and may irritate the oral ulcers further. It's important to avoid irritating substances in the oral cavity to promote healing.

Choice B rationale:

Cleaning the gums with saline-soaked gauze is a gentle and non-irritating method to maintain oral hygiene for a toddler with oral ulcers. Saline solution helps keep the oral cavity clean and reduces the risk of infection without causing further irritation.

Choice C rationale:

Administering oral viscous lidocaine is not recommended for routine use in managing oral ulcers in children. Lidocaine can be absorbed systemically and lead to toxicity, especially in young children. It should only be used under the guidance of a healthcare provider and in specific circumstances where the benefits outweigh the risks.

Choice D rationale:

Scheduling routine oral care every 8 hours is important, but the method of oral care is equally crucial. Using gentle methods like saline-soaked gauze to clean the gums ensures proper hygiene without causing discomfort to the child.