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 D
Explanation
Choice A: The OUCHER scale is not suitable for a 2-month-old infant, as it is designed for children aged 3 to 13 years who can point to pictures of faces that match their pain level. A 2-month-old infant cannot communicate verbally or point to pictures.
Choice B: The FACES scale is not suitable for a 2-month-old infant, as it is designed for children aged 3 years and older who can select a face that matches their pain level. A 2-month-old infant cannot communicate verbally or select a face.
Choice C: The PAINAD scale is not suitable for a 2-month-old infant, as it is designed for adults who have advanced dementia and cannot verbalize their pain. A 2-month-old infant does not have dementia and may have different behavioral indicators of pain.
Choice D: The FLACC scale is suitable for a 2-month-old infant, as it is designed for infants and children aged 2 months to 7 years who cannot verbalize their pain. The FLACC scale assesses five behavioral indicators of pain: face, legs, activity, cry, and consolability. Each indicator is scored from 0 to 2 based on the observation of the nurse. The total score ranges from 0 to 10, with higher scores indicating more pain.
Correct Answer is B
Explanation
Choice A: A 3-year-old child is not developmentally ready to descend stairs by placing both feet on each step and holding on to the railing. A 3-year-old child can walk up stairs alternating feet with one hand held by an adult or on the railing. A 3-year-old child can also walk down stairs placing both feet on each step with one hand held by an adult.
Choice B: A 4-year-old child is developmentally able to descend stairs by placing both feet on each step and holding on to the railing. A 4-year-old child can also walk up stairs alternating feet without assistance.
Choice C: A 5-year-old child is developmentally more advanced than descending stairs by placing both feet on each step and holding on to the railing. A 5-year-old child can walk up and down stairs alternating feet without assistance.
Choice D: A 6-year-old child is developmentally more advanced than descending stairs by placing both feet on each step and holding on to the railing. A 6-year-old child can walk up and down stairs alternating feet without assistance and can also hop and skip on one foot.
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