Nokea
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.
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The nurse is caring for a client with possible lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff?
- A. Nits are located near the scalp.
- B. Dandruff is throughout the hair.
- C. Nits are difficult to move from hair shafts.
- D. Dandruff looks white and flakey.
Correct Answer: C
Rationale: The nurse is correct to use the difference of the nits being securely attached to the hair shaft as a guide to confirmation of lice infestation. Dandruff is fine, white particles of dead, dry scalp cells that can be easily picked from the hair.
The school nurse is teaching parents about head lice. What statement regarding the transmission of lice would the nurse identify as a myth?
- A. Lice can be spread by sharing of hats, caps, and combs
- B. Lice can jump from one individual to another.
- C. Lice need to be removed from the hair with a fine comb.
- D. Lice can be seen without magnification.
Correct Answer: B
Rationale: The nurse is correct to identify that lice cannot jump from one individual to another. Direct contact is needed for transmission. The other options are factual statements.
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.
The nurse is working at a podiatrist's office. Which assessment finding is characteristic to the acquisition of onychomycosis in women?
- A. Clipping nails too closely
- B. Soaking hands in detergent
- C. Wearing artificial nails.
- D. Filing nails even with the fingers
Correct Answer: C
Rationale: The nurse is correct to instruct the client that onychomycosis is frequently found in the fingernails of women wearing artificial nails. Unsanitary cleansing of nail-application utensils between customers in salons seems to be the mode of transmission. Clipping nails too closely can cause discomfort. Soaking hands in detergent and filing nails even with the fingers do not cause onychomycosis.
The nurse is working with community groups. At what location would the nurse anticipate a possible scabies outbreak?
- A. Shopping mall
- B. Swimming pool
- C. College dormitory
- D. Gymnasium
Correct Answer: C
Rationale: The nurse is correct to anticipate a potential scabies outbreak in a college dormitory. Outbreaks are common where large groups of people are confined or housed. Spread of scabies is from skin-to-skin contact. Although there are groups of people at the shopping mall, swimming pool, and gymnasium, typically, there is no personal contact.