Question

33. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?
a. wash the child’s hair with shampoo containing ketoconazole
b. Treat everyone who came into close contact with the child
c. Soak comb and brushes in boiling water for 10min.
d. Apply petroleum jelly to the affected areas.

34. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
a. Apply bactericidal ointment to lesions
b. Administer acyclovir PO two times per day
c. Soak hairbrushes in boiling water for 10 minute
d. Seal soft toys in a plastic bag for 14 days

36. A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of following findings should the nurse expect?
a. Hypothermia
b. Ataxia
c. Hyperactive reflexes
d. Pinpoint pupils

37. A nurse is planning care for a school-age child who was admitted from the emergency department 2 hrs ago. Which of the following interventions should the nurse include to promote adequate sleep for the child?
a. follow the child’s home sleep routine to reduce anxiety
b. Allow the child to adjust their bedtime to promote autonomy
c. Leave the lights on in the child’s room to promote safety
d. Provide the child with video games prior to bedtime to reduce stress

38. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?
a. Capillary refill for 2 seconds
b. Increased urine output
c. Increased respiratory rate
d. Hypertension

Answer 1

33. The answer is option b, treat everyone who came into close contact with the child.

Scabies is a contagious skin infection caused by a mite called Sarcoptes scabiei. It is characterised by severe itching. the main mode of transmission is through close contact. It is very common to spread more easily in the family, schools, nursing homes, prison etc. if anyone in these groups are affected. therefore, doctors usually recommend treatment for all those who have come across with the infected person.

Options a and c are incorrect as it is not related to scabies. Scabies is a skin infection, but these options say about treatment of hair or scalp related infections.

Option d is incorrect as petroleum jelly is not commonly used in the treatment of scabies. If it is used also, sulfur based petroleum jelly is used. But it is also not very common.

34. The answer is option a, apply bactericidal ointments to lesions.

Impetigo is a common skin infection especially among children caused by bacteria. It is characterised by red sores mainly on the face. It is highly contagious also. Bactericidal ointmens can ease healing and prevent spread of infection to others. the sores can burst and it leaves a hiney coloured crust.

Option b is incorrect as acyclovir is an antiviral drug and impetigo is a bacterial infection.

Option c is incorrect as it is not a hair or scalp infection. It is a skin infection.

Option d is incorrect as the toys have to be cleaned first using soap and water to prevent its spread through the toys. Just keeping it sealed without cleaning is of no use. Toys are a good medium of transmission of this disease.