A nurse is caring for a school-age child who has lice. The child's guardian prefers the use of a natural remedy to treat the lice. Which of the following treatments should the nurse recommend?
Use a dandruff shampoo followed by drying the child's hair on high heat.
Apply mayonnaise to the child's head.
Boil the child's combs, brushes, and hair accessories in water for 10 min.
Manually remove the lice eggs with a special comb.
The Correct Answer is B
Rationale:
A. Dandruff shampoo does not kill lice or nits effectively. High heat from a hair dryer is not a reliable or recommended method for lice eradication and may cause burns or scalp irritation.
B. This is a natural remedy sometimes used to suffocate lice. It is applied generously to the hair and scalp, covered with a shower cap for several hours, and then washed out. While not as consistently effective as pediculicides, it aligns with the guardian’s preference for nonchemical, natural treatment.
C. While cleaning personal items is important to prevent reinfestation, this action alone does not treat the lice on the child’s scalp. It is a supportive measure rather than a primary treatment.
D. Combing with a fine-tooth (nit) comb is an effective adjunctive method, especially after treatment, but it is time-consuming and typically used in combination with another treatment. It may not be sufficient alone to eliminate lice entirely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Working with nursing organizations to facilitate health policy is correct because nurses can collaborate with professional associations, community groups, or coalitions to advocate for policy changes, such as improving access to care, funding for public health programs, or safe staffing legislation. Legislative advocacy may include writing to legislators, testifying at hearings, participating in lobbying efforts, or drafting policy proposals. This aligns directly with the legislative advocacy role.
B. Building partnerships between providers, practitioners, and clients is incorrect because this reflects community or collaborative advocacy, which is focused on coordinating care, resources, and support for specific populations, rather than influencing laws or regulations.
C. Working with clients to develop services to promote client health outcomes is incorrect because this describes case advocacy or client-centered advocacy, aimed at ensuring individual patient needs are met. It involves interventions like arranging services, addressing barriers to care, or advocating for patient preferences, not creating or changing legislation.
D. Translating medical terminology into basic terms is incorrect because this is part of communication advocacy or patient education, helping clients understand diagnoses, treatments, and instructions. While important, it does not involve influencing policy or legislation.
Correct Answer is D
Explanation
Rationale:
A. Discuss the manifestations of asthma with the student's teacher is incorrect as the first action because while educating the teacher is important for classroom management, it does not address the immediate concern of frequent inhaler use and potential uncontrolled asthma.
B. Encourage the student's parent to identify and reduce environmental triggers is important but is not the first step. Environmental interventions are part of long-term asthma management, but the priority is identifying why the student is needing frequent rescue medication.
C. Review breathing exercises with the student is incorrect as the first step because breathing techniques are supportive interventions; they do not address the underlying cause of frequent inhaler use or ensure proper medical management.
D. Determine if the student sees their provider on a regular basis is correct because frequent use of a rescue inhaler indicates possible poorly controlled asthma. The nurse’s first priority is to assess the student’s current medical management and ensure they are receiving appropriate follow-up care. This helps identify whether a change in medication, treatment plan, or further evaluation is needed.
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