Nokea
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
- A. Use commercial grade laundry detergent.
- B. Pretreat clothing where scabies contact existed.
- C. Wash clothes through two laundry cycles.
- D. Use hot water throughout wash cycle.
Correct Answer: D
Rationale: The nurse is correct to instruct the client to use hot water throughout the wash cycle. Using hot water kills scabies and infectious agents on the laundry. If using the correct wash settings, the client does not need to use commercial-grade laundry detergent; the clothing does not need pretreated nor washed through two cycles.
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The nurse is assessing four clients in the skin clinic for skin cancer. Which client is of highest risk for skin cancer?
- A. The client who tans easily
- B. The client with dark-colored skin
- C. The client with psoriasis
- D. The client with scar tissue
Correct Answer: D
Rationale: The nurse is correct to identify that clients with scar tissue are prone to malignant changes of the skin. Fair-skinned clients or those with decreased melanin are at a higher risk for skin cancer. A client with psoriasis is not at an increased risk for skin cancer.
A client with scabies has been prescribed a scabicide. What should the nurse tell the client to do before beginning treatment?
- A. Wear clean clothing.
- B. Avoid contact with others who have scabies.
- C. Expect itching to continue for 2 to 3 weeks after the treatment.
- D. Have a thorough bath.
Correct Answer: D
Rationale: Before any treatment begins, the nurse advises the client to bathe thoroughly. Wearing clean clothing and avoiding contact with others who have scabies are essential in preventing a recurrence. As a part of client teaching, the nurse explains that itching may continue for 2 to 3 weeks after the treatment.
The school nurse is instructing a parent in the care and elimination of lice from their child's hair. The parent brings all of the products for care in a bag. Which contents are not appropriate for use?
- A. Shampoo and conditioner
- B. Permethrin (Nix)
- C. Plastic fine-toothed comb
- D. New hair clips
Correct Answer: A
Rationale: The nurse is correct to instruct the parent to avoid shampoo and conditioner because this coats the hair and protects the nits. Nix and a fine-toothed comb are recommended. New hair clips may be used once the infestation is gone.
The nurse is caring for a client with a furuncle. What advice should the nurse give the client to prevent the spread of the infection?
- A. Keep hair short, clean, and away from the face and forehead.
- B. Never pick or squeeze a furuncle.
- C. Avoid the use of cosmetics.
- D. Use tepid bath water.
Correct Answer: B
Rationale: The client with a furuncle should never pick or squeeze it as the drainage is infectious and this practice favors the spread of the infection. Infections by organisms that usually exist harmlessly on the skin surface cause furuncles. Keeping the hair short, clean, and away from the face and forehead, avoiding cosmetics, and using tepid bath water do not help in preventing the spread of a furuncle.
The pediatric nurse is instructing a young athlete and parent regarding tinea pedis. Which nursing advice best decreases frequent attacks?
- A. Provide meticulous nail care.
- B. Avoid being barefoot outside.
- C. Avoid white cotton socks.
- D. Rotate shoe use.
Correct Answer: D
Rationale: The nurse is correct to instruct the client to rotate the use of different shoes allowing the shoes time to evaporate shoe moisture from use. The fungus particularly grows in dark, warm, moist areas. Eliminating the factors decreases the risk of further outbreaks. The other options are not necessary.