A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Which of the following actions by the staff nurse indicates an understanding of infection control practices?

Rationale:

A. In many jurisdictions, adolescents have the legal right to consent to testing and treatment for sexually transmitted infections (STIs) without parental involvement. Obtaining written consent from the client is appropriate in this situation.

B. While verbal consent from the social worker may be helpful, the client's own consent is required for STI testing.

C. Depending on local laws and policies, contacting the client's parents for consent may not be necessary or appropriate, especially if the adolescent is seeking confidential care.

D. Postponing testing until the client's parents are present may delay necessary medical care and breach the adolescent's right to confidential healthcare.

Rationale:

A. Scaly lesions on the inner thighs are not typically characteristic of scabies. Scabies lesions are often burrow-like and appear as small, raised, grayish-white or skin- colored lines, not scaly.

B. A rash with red macular lesions on the scalp is not characteristic of scabies.

Scabies lesions typically occur in areas with thin skin, such as the webs of fingers, wrists, elbows, axillary folds, waistline, buttocks, and genitalia.

C. A bull's eye edematous area on the groin is not characteristic of scabies. Scabies lesions usually present as small, raised, grayish-white or skin-colored lines or bumps, not as bull's eye patterns.

D. Maculopapular skin burrows on the hand are a classic manifestation of scabies.

Scabies mites burrow into the skin to lay eggs, causing raised, linear, erythematous, and excoriated lesions, which may appear as small papules or vesicles with a surrounding erythematous flare.