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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Head lice are spread most commonly by direct head-to-head (hair-to-hair) contact.
However, much less frequently they are spread by sharing clothing or belongings onto which lice have crawled or nits attached to shed hairs may have fallen.
Choice B is not correct because lice cannot jump from one child to another. Choice C is not correct because live lice survive less than 1-2 days if they fall off a
person and cannot feed.
Choice D is not correct because washing your child’s hair daily will not prevent lice.
Correct Answer is C
Explanation
This statement helps the child understand that they are not to blame for the abuse and can help reduce feelings of guilt or shame.
Choice A is not an answer because it can create more confusion and fear in the child.
Choice B is not an answer because discussing the abuse with the family may not be safe or appropriate.
Choice D is not an answer because it is important for the nurse to report the abuse to the appropriate authorities to ensure the child’s safety.
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