The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice?

Maculopapular lesions behind the ears

White sacs attached to the hair shafts in the occipital area.

White flaky particles throughout the entire scalp region

Lesions in the scalp that extend to the hairline or neck

Answer and Explanation

The Correct Answer is B

A. Maculopapular lesions behind the ears: Maculopapular lesions are not characteristic of head lice infestation.
B. White sacs attached to the hair shafts in the occipital area: White sacs (nits) attached to hair shafts are characteristic of head lice infestation.
C. White flaky particles throughout the entire scalp region: White flaky particles are more suggestive of dry scalp or dandruff, not head lice.
D. Lesions in the scalp that extend to the hairline or neck: Lesions extending to the hairline or neck could indicate secondary infection but are not specific to head lice infestation.

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Correct Answer is B

Explanation

A. Dilute the medication with 240 mL (8 oz) of milk. Milk can inhibit iron absorption, so it's not recommended to mix iron supplements with milk.
B. Administer the medication at meal time. Iron supplements are best absorbed when taken with food, specifically vitamin C-rich foods to enhance absorption. This instruction promotes optimal therapeutic effect.
C. Administer the medication at bedtime: Timing with meals is more effective than at bedtime.
D. Offer the medication through a straw. The method of administration is less critical than the timing with meals.

A. Test the stool for occult blood B. Perform a tape test C. Initiate IV fluids D. Collect stool specimen for culture

Correct Answer is B

Explanation

A. Test the stool for occult blood: Testing for occult blood in the stool is not relevant for diagnosing pinworms.
B. Perform a tape test: The tape test involves applying transparent tape to the perianal area to collect pinworm eggs, which is the appropriate diagnostic method for Enterobius vermicularis.
C. Initiate IV fluids: IV fluids are not indicated for the diagnosis or treatment of pinworms unless the child is severely dehydrated, which isn't suggested by the scenario.
D. Collect stool specimens for culture: Stool culture is not used to diagnose pinworms; the tape test is more appropriate.

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The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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