A nurse is caring for a client who has pruritus following treatment for scabies. Which of the following actions should the nurse take?
Encourage the client to gently rub the affected area.
Provide mittens for the client to wear at night.
Assist the client to take a hot shower.
Apply additional scabicide to the affected area.
The Correct Answer is B
Choice A rationale: Rubbing the affected area may exacerbate pruritus and potentially spread scabies.
Choice B rationale: Providing mittens can prevent the client from scratching the affected areas, promoting healing and preventing the spread of scabies.
Choice C rationale: Hot water can worsen itching and should be avoided in scabies management.
Choice D rationale: The application of scabicide should follow the prescribed treatment plan, and additional application without guidance may lead to overuse and potential adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While herpes simplex virus type 2 (HSV-2) is more commonly associated with genital herpes, HSV-1 can also cause genital lesions.
Choice B rationale: Herpes simplex virus type 1 (HSV-1) typically causes oral lesions, commonly known as cold sores or fever blisters. Recurrence of HSV-1 lesions is most likely to occur on or around the mouth.
Choice C rationale: Recurrence of HSV-1 lesions is not typically found on the extremities.
Choice D rationale: HSV-1 lesions are not commonly found on the scalp.
Correct Answer is C
Explanation
Choice A rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not question the charge nurse about care deficits.
Choice B rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not document what the nurse believes was the cause of ulcer development.
Choice C rationale: This is important because it provides factual information about the client's condition and perception of the event, which could help in identifying the factors that contributed to the ulcer development and preventing further complications.
Choice D rationale: Documenting in the client's medical record that the nurse completed an incident report is not the primary purpose of the incident report itself. Incident reports are internal documents used by the healthcare facility to track and investigate events. The documentation in the client's medical record should focus on the client's clinical condition, care provided, and response to treatment.
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