Nokea
Which is usually the only symptom of pediculosis capitis (head lice)?
- A. Itching
- B. Vesicles
- C. Scalp rash
- D. Localized inflammatory response
Correct Answer: A
Rationale: Itching is generally the only manifestation of pediculosis capitis (head lice). Diagnosis is made by observation of the white eggs (nits) on the hair shaft. Vesicles, scalp rash, and localized inflammatory response are not symptoms of head lice.
You may also like to solve these questions
What should the nurse explain about ringworm?
- A. It is not contagious.
- B. It is a sign of uncleanliness.
- C. It is expected to resolve spontaneously.
- D. It is spread by both direct and indirect contact.
Correct Answer: D
Rationale: Ringworm is spread by both direct and indirect contact. Infected children should wear protective caps at night to avoid transfer of ringworm to bedding. Ringworm is infectious. Because ringworm is easily transmitted, it is not a sign of uncleanliness. It can be transmitted by seats with head rests, gym mats, and animal-to-human transmission. The drug griseofulvin is indicated for a prolonged course, possibly several months.
Lymphangitis (streaking) is frequently seen in what?
- A. Cellulitis
- B. Folliculitis
- C. Impetigo contagiosa
- D. Staphylococcal scalded skin
Correct Answer: A
Rationale: Lymphangitis is frequently seen in cellulitis. If it is present, hospitalization is usually required for parenteral antibiotics. Lymphangitis is not associated with folliculitis, impetigo, or staphylococcal scalded skin.
A 4-month-old infant comes to the clinic for a well-infant checkup. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations should include which?
- A. DTaP and IPV can be safely given.
- B. DTaP and IPV are contraindicated because she has a cold.
- C. IPV is contraindicated because her sister is immunocompromised.
- D. DTaP and IPV are contraindicated because her sister is immunocompromised.
Correct Answer: A
Rationale: These immunizations can be given safely. Serious illness is a contraindication. A mild illness with or without fever is not a contraindication. These are not live vaccines, so they do not pose a risk to her sister.
The school reviewed the pediculosis capitis (head lice) policy and removed the no nit requirement. The nurse explains that now, when a child is found to have nits, the parents must do which before the child can return to school?
- A. No treatment is necessary with the policy change.
- B. Shampoo and then trim the childs hair to prevent reinfestation.
- C. The child can remain in school with treatment done at home.
- D. Treat the child with a shampoo to treat lice and comb with a fine-tooth comb every day until nits are eliminated.
Correct Answer: C
Rationale: Many children have missed significant amounts of school time with no nit policies. The child should be appropriately treated with a pediculicide and a fine-tooth comb. The environment needs to be treated to prevent reinfestation. The treatment with the pediculicide will kill the lice and leave nit casings. Cutting the childs hair is not recommended; lice infest short hair as well as long. With a no nit policy, treating the child with a shampoo to treat lice and combing the hair with a fine-tooth comb every day until nits are eliminated is the correct treatment. The policy change recognizes that most nits do not become lice.
Which serious reaction should the nurse be alert for when administering vaccines?
- A. Fever
- B. Skin irritation
- C. Allergic reaction
- D. Pain at injection site
Correct Answer: C
Rationale: Each vaccine administration carries the risk of an allergic reaction. The nurse must be prepared to intervene if the child demonstrates signs of a severe reaction. Mild febrile reactions do occur after administration. The nurse includes management of fever in the parent teaching. Local skin irritation may occur at the injection site after administration. Parents are informed that this is expected. The injection can be painful. The nurse can minimize the discomfort with topical analgesics and nonpharmacologic measures.