A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
"All recently used clothing, bedding, and towels must be washed in hot water."
"Nits will always be present."
"I will treat all the family members to be on the safe side."
"Toys that can't be dry cleaned or washed must be thrown out."
The Correct Answer is A
Choice A: This statement indicates an understanding of the teaching, as washing all recently used clothing, bedding, and towels in hot water can help eliminate lice and nits (eggs). Lice and nits can survive on fabrics for up to two days and can spread from one person to another through direct or indirect contact. Washing items in hot water can kill lice and nits by exposing them to high temperatures.
Choice B: This statement indicates a lack of understanding of the teaching, as nits will not always be present after treatment. Nits are tiny white or yellow oval-shaped eggs that are attached to the hair shaft near the scalp. Nits can hatch into nymphs (young lice) within seven to ten days and mature into adult lice within nine to twelve days. Nits can be removed by using a fine-toothed comb or by applying products that loosen their grip on the hair.
Choice C: This statement indicates a lack of understanding of the teaching, as treating all family members may not be necessary or effective. Treating all family members can expose them to unnecessary chemicals or medications that may have side effects or cause resistance. Treating all family members may also not prevent reinfestation if there are other sources of exposure such as school or daycare. Only family members who have evidence of lice or nits should be treated.
Choice D: This statement indicates a lack of understanding of the teaching, as throwing out toys that can't be dry cleaned or washed may not be required or practical. Throwing out toys can cause emotional distress or financial burden for the child or the parents. Throwing out toys may also not prevent reinfestation if there are other sources of exposure such as clothing or bedding. Toys that can't be dry cleaned or washed can be sealed in plastic bags for two weeks to suffocate the lice and nits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Using a pincer grasp indicates a need for further evaluation, as it is a developmental milestone that is usually achieved by 9 to 10 months of age. A pincer grasp is the ability to pick up small objects using the thumb and index finger. A 7-month-old infant should be able to use a raking grasp, which is the ability to scoop up objects using all fingers.
Choice B: Having a fear of strangers does not indicate a need for further evaluation, as it is a normal and expected behavior for a 7-month-old infant. A fear of strangers is a sign of attachment and recognition of familiar and unfamiliar faces. A 7-month-old infant may cry, cling, or turn away from strangers.
Choice C: Showing preferences towards foods does not indicate a need for further evaluation, as it is a normal and expected behavior for a 7-month-old infant. Showing preferences towards foods is a sign of individuality and taste development. A 7-month-old infant may accept or reject certain foods based on their flavor, texture, or appearance.
Choice D: Babbling one-syllable sounds does not indicate a need for further evaluation, as it is a normal and expected behavior for a 7-month-old infant. Babbling one-syllable sounds is a sign of language and communication development. A 7-month-old infant may make sounds such as "ba", "da", "ga", or "ma".
Correct Answer is A
Explanation
Choice A reason: This is a therapeutic response that acknowledges the parent's feelings and provides reassurance that the behavior is normal and temporary. The other responses are either dismissive, judgmental, or self-disclosing, which are not helpful for the parent.
Choice B reason: This is a judgmental response that implies that the parent is overreacting or has unrealistic expectations for their child.
Choice C reason: This is a dismissive response that minimizes the parent's concern and does not offer any support
or information.
Choice D reason: This is a self-disclosing response that shifts the focus from the parent to the nurse and does not
address the issue at hand.
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