A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?
Use tweezers or forceps to remove the tick, pulling up with a steady pressure.
Squeeze the tick and pull it off with bare fingers.
Spray DEET directly on to the child's skin where the tick is embedded.
Apply mineral oil to the site of attachment and wait for the tick to back out.
The Correct Answer is A
A. The appropriate method for tick removal involves using fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pulling upward with steady, even pressure. This minimizes the risk of the tick's mouthparts breaking off and remaining in the skin.
B. Using bare fingers can be unsanitary and may cause the tick to release more saliva, potentially increasing the risk of disease transmission. Squeezing the tick can also lead to the release of harmful pathogens into the bloodstream.
C. DEET is an insect repellent that is used to prevent tick bites but should not be applied to a tick that is already embedded. Applying repellent will not assist in tick removal and may cause irritation to the skin.
D. While some people believe that applying mineral oil can cause a tick to detach, this method is not recommended. It may irritate the tick and could increase the likelihood of the tick regurgitating pathogens into the skin, raising the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Frequent handwashing is critical in preventing the spread of infections, especially when one person in the household is ill with gastroenteritis. This practice indicates good hygiene and care for the client.
B. Drinking an electrolyte solution can help the spouse stay hydrated, especially when experiencing frequent loose stools due to gastroenteritis. Staying hydrated is essential for recovery.
C. If the spouse is actively preparing food for the client while having gastroenteritis, there is a risk of contaminating the food, which could lead to the client becoming ill. The client may be more vulnerable to infections, particularly following a stroke, and it is crucial to prevent exposure to any pathogens.
D. This observation is a good practice as it helps prevent the spread of germs. Using separate personal items, like a toothbrush and toothpaste, can minimize the risk of transmitting infections.
Correct Answer is B
Explanation
A. Topical corticosteroids are not typically used for impetigo, as it's a bacterial infection.
B. Impetigo is highly contagious, so contact precautions are essential to prevent the spread of infection. This includes wearing gloves and a gown when providing direct care, and using dedicated equipment for the child.
C. A wood lamp is used to examine the skin for fungal infections, not bacterial infections like impetigo.
D. Impetigo typically doesn't require dressings. If dressings are used, they should be removed gently to avoid further skin damage.
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