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?
Folliculitis.
Tinea capitis.
Impetigo contagiosa.
Pediculosis capitis.
The Correct Answer is D
The correct answer is choice D: Pediculosis capitis.
Choice D rationale: Pediculosis capitis is an infestation of head lice, which causes symptoms such as white flakes that do not brush off the hair easily and a rash on the back of the neck. These symptoms are due to the lice feeding on the scalp and laying eggs (nits), which can cause itching and irritation.
Choice A rationale: Folliculitis is an inflammation of the hair follicles, typically caused by bacterial or fungal infections. While it can cause a rash, it is not characterized by white flakes in the hair.
Choice B rationale: Tinea capitis, also known as ringworm of the scalp, is a fungal infection that causes scaly, itchy patches on the scalp. It may lead to hair loss in the affected areas, but it does not typically cause white flakes that do not brush off the hair.
Choice C rationale: Impetigo contagiosa is a highly contagious bacterial skin infection that causes blisters or sores on the skin. It does not involve white flakes in the hair and primarily affects exposed skin rather than the scalp.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Individuals with spina bifida who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal bifida may need to use bowel management techniques such as suppositories to help regulate bowel movements.
Correct Answer is B
Explanation
Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in your urine.
Swelling around the eyes is the most common sign of nephrotic syndrome in children 2.
Choice A is incorrect because smokey brown urine is not a symptom of nephrotic syndrome.
Choice C is incorrect because hypertension (high blood pressure) is a complication of nephrotic syndrome, not a symptom.
Choice D is incorrect because polyuria (frequent urination) is not a symptom of nephrotic syndrome.
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