A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?

When educating the parent of a child with scabies, it's important to provide accurate information about managing the condition and preventing its spread. Among the options provided:

Choice A Reason:

Apply petroleum jelly to the affected areas: Petroleum jelly does not effectively treat scabies. While it might provide some relief from itching, it won't eliminate the mites or their eggs

Choice B Reason:

Treat everyone who came into close contact with the child: This is an essential step in managing scabies. Close contacts, such as family members or others who have spent prolonged periods with the child, should be treated, even if they aren't showing symptoms. Treating everyone helps prevent the spread and recurrence of the infestation.

Choice C Reason:

Soak combs and brushes in boiling water for 10 minutes: While cleanliness is important to prevent the spread of scabies, soaking combs and brushes in boiling water might not effectively kill scabies mites. Scabies mites cannot survive for more than a few days away from human skin, so simply avoiding sharing personal items is usually enough to prevent transmission.

Choice D Reason:

Wash the child's hair with shampoo containing ketoconazole: Scabies mites primarily infest the skin, not the scalp or hair. Using shampoo with ketoconazole is not considered a standard treatment for scabies. Topical medications, such as permethrin or lindane, prescribed by a healthcare provider, are typically used to treat scabies.

Choice A Reason:

Obtain written consent from the client is correct. In many jurisdictions, adolescents have the legal right to consent to STI testing and treatment without parental involvement or notification. Healthcare providers must adhere to confidentiality and privacy laws regarding adolescent health, particularly concerning sensitive issues like STI testing and treatment.

Choice B Reason:

Contact the client's parents to obtain phone consent is incorrect. Contacting the client's parents for consent might breach the adolescent's privacy and confidentiality, particularly in cases where they have the legal right to seek STI testing without parental involvement. In many jurisdictions, adolescents have the right to confidential healthcare services related to sexual health.

Choice C Reason:

Postpone the testing until the client's parents are present is incorrect. Delaying the testing until the client's parents are present could potentially compromise the adolescent's health. Confidentiality and timely access to healthcare services are critical, especially in cases concerning sexual health where prompt testing and treatment might be necessary.

Choice D Reason:

Request verbal consent from the social worker. Obtaining consent through a social worker might not follow proper healthcare protocols. Written consent from the adolescent themselves, if legally permissible, is typically required for such medical procedures, ensuring proper documentation and legal compliance.