A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?
Pediculosis capitis
Impetigo contagiosa
Folliculitis
Tinea capitis
The Correct Answer is D
A. Pediculosis capitis, commonly known as head lice, is characterized by the presence of live lice and nits (lice eggs) attached to the hair shaft close to the scalp. They do not typically cause a rash on the back of the neck.
B. Impetigo is a bacterial skin infection characterized by red sores or blisters that rupture and form honey-colored crusts. It commonly affects areas of the body with broken skin, such as the face, hands, and arms.
C. Folliculitis is inflammation or infection of the hair follicles caused by bacteria or fungi. It can result in red, swollen, and pus-filled bumps around hair follicles.
D. Tinea capitis is a fungal infection of the scalp and hair follicles. It is characterized by the presence of white or grayish flakes that adhere to the hair shafts and cannot be easily brushed off, along with a rash or scaly patch on the scalp. The rash may extend to the back of the neck.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Most schools have policies allowing children to return to school once they have been treated for head lice, even if nits are still present. Complete nit removal can be challenging, and some nits may remain after treatment.
B. Treating all family members is indeed a recommended practice to prevent the spread of head lice within the household. However, this statement alone does not encompass all aspects of managing pediculosis capitis.
C. Throwing out toys that cannot be dry cleaned or washed is unnecessary and wasteful. The focus should be on thoroughly cleaning and treating the affected person's personal items and surroundings.
D. Washing recently used clothing, bedding, and towels in hot water is an important measure to eliminate head lice and their eggs (nits) from the environment. Hot water helps kill lice and their eggs effectively. This action is a crucial part of the treatment and prevention strategy for pediculosis capitis.
Correct Answer is B
Explanation
A. Irritability is a common response in toddlers to illness or discomfort. Nephrotic syndrome is mainly painless
B. Facial edema is a characteristic symptom of nephrotic syndrome due to fluid retention and should be reported, as it may require management of the underlying condition or adjustment of treatment.
C. Poor appetite can be a symptom of nephrotic syndrome but not specific to it.
D. Yellow nasal discharge can indicate an infection such as a common cold, but not specific to nephrotic syndrome.
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