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Peds’ Clinical Case Study with Answers Scenario A .P. is an 8-year-old who is sent to the nurse's office because she has had a several-day history of scratching her head so badly that she complains that her “head hurts.” You complete a general examination of A.P.'s head and notice that she has red, irritated areas with several scratch marks; a few open sores; and sesame seed–sized, silvery white and yellow nodules (bugs) that are adhered to many ofher hair shafts. You determine that A.P. has pediculosis capitis.1. W hat is pediculosis capitis? Pediculosis capitis is a lice infestation of the scalp and hair.2. What will be your next steps in A.P.'s care? • Use a bright light and magnifying glass to evaluate the location and degree of head lice and nits (eggs) along the hair shaft, looking very closely at the scalp line. • Contact A.P.'s parents and inform them of your findings. • A.P. will need to be treated with a pediculocide shampoo, such as permethrin1% cream rinse, which kills adult lice and nits.