A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Itching and scratching of the head.

Firmly attached white particles on the hair.

Thick yellow crusted lesion on a red base.

Patchy areas of hair loss.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Firmly attached white particles on the hair.

Choice A rationale:

Itching and scratching of the head are common symptoms of pediculosis capitis, but they are not definitive indicators. Itching can be caused by various other conditions such as dandruff or allergies.

Choice B rationale:

Firmly attached white particles on the hair, known as nits, are a definitive sign of pediculosis capitis. Nits are lice eggs that stick to the hair shafts and are difficult to remove.

Choice C rationale:

Thick yellow crusted lesions on a red base are more indicative of impetigo, a bacterial skin infection, rather than pediculosis capitis.

Choice D rationale:

Patchy areas of hair loss are typically associated with conditions like alopecia areata or fungal infections such as tinea capitis, not pediculosis capitis.

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Correct Answer is D

Explanation

The nurse should ﬁrst oﬀer the mother's private time with the newborn to allow her to grieve and say goodbye.
This can be an important part of the healing process for the mother.
Choice A is not an answer because contacting clergy is not the ﬁrst action the nurse should take.
Choice B is not an answer because transferring the client to another unit is not the ﬁrst action the nurse should take.
Choice C is not an answer because administering medication is not the ﬁrst action the nurse should take.

A. "Our baby will sleep in our bed because I am breastfeeding.". B. "We will remove blankets and toys from the crib.". C. "We will give my baby a pacifier during naps and at bedtime.". D. "We will place my baby on her back when sleeping.".

Correct Answer is A

Explanation

“Our baby will sleep in our bed because I am breastfeeding.” Sharing a bed with a baby increases the risk of SIDS1.
Choice B is not the answer because removing blankets and toys from the crib is a recommended way to reduce the risk of SIDS2.
Choice C is not the answer because giving a baby a paciﬁer during naps and at bedtime can help reduce the risk of SIDS.
Choice D is not the answer because placing a baby on their back when sleeping is one of the most important measures to help protect against SIDS1.

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