An adult client receives a prescription for permethrin (Acticin Cream 5%) to treat an infestation of scabies. The nurse instructs the client to massage the cream into the skin from the head to the soles of the feet, avoiding the eyes. Which additional instruction should the nurse provide?
Remove the cream from the skin immediately if pruritis occurs.
Reapply cream in seven days to prevent re-infestation.
Shower or bathe 8 to 14 hours after treatment to remove cream.
Avoid areas between fingers and toes during application.
The Correct Answer is C
Choice A: Permethrin cream may cause temporary itching and skin irritation as it works to eliminate the scabies mites. Instructing the client to remove the cream immediately if pruritis occurs is not necessary; it is a common and expected side effect during treatment.
Choice B: Reapplication of permethrin is not typically done in seven days unless directed by the healthcare provider. A single application is often effective in treating scabies.
Choice C: Showering or bathing 8 to 14 hours after permethrin treatment is a common instruction to remove the cream and dead mites. This is an important part of the treatment process.
Choice D: Avoiding areas between fingers and toes during application is not necessary, as permethrin is generally safe for use on these areas. However, it should not be applied to the face or near the eyes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Sweaty palms may be related to various factors, including anxiety, physical activity, or environmental conditions. While it may warrant further assessment, it is not necessarily indicative of a nutritional issue in a professional dancer.
Choice B: Fatigue in a professional dancer can be a concerning issue and may indicate an underlying nutritional problem, such as inadequate calorie intake or nutrient deficiencies. Further assessment of the client's dietary habits and energy levels is warranted.
Choice C: Bunions are a foot deformity and are not directly related to nutritional assessment.
Choice D: Dry skin may be related to various factors, including environmental conditions and skin care practices. It may warrant assessment but is not necessarily indicative of a nutritional issue.
Correct Answer is D
Explanation
Choice A: Whole wheat bread is not typically high in tyramine and is not a common trigger for migraines.
Choice B: Chicken is a low-tyramine food and is unlikely to be a trigger for migraines.
Choice C: Cherries are also low in tyramine and are not commonly associated with migraine triggers.
Choice D: Hard salami is a high-tyramine food and is known to be a potential trigger for migraines. Therefore, the nurse should recommend that the client eliminate hard salami from their diet.
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