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A child has an infestation of scabies. Which area should the nurse assess first when evaluating for improvement of the condition?→NeckNavelElbowsWebs of the fingersIn children, scabies is most likely to appear on the head, neck, and buttocks. In adults, the most common sites of infestation are the wrists, elbows, nipples, navel, genital region, and webs of the fingers.p. 1202The nurse should teach the patient with pediculosis that which item poses a safety hazard when used with the medication malathion [Ovide]?Shampoo
→Hair dryerStraight razorNylon clothingBecause of its 78% alcohol content, malathion [Ovide] is flammable. Hair dryers and other sources of heat should be avoided until the lotion has dried naturally on the scalp and hair. Shampoos, razors, and nylon clothing do not pose safety risks with the use of malathion.p. 1203The nurse teaches the mother of a child with head lice about benzyl alcohol. Which information should the nurse include?"After 8 to 12 hours, wash off."→"After 10 minutes, wash off with water.""After 10 hours, wash off with shampoo.""After less than 4 minutes, wash off with warm water."Benzyl alcohol should be applied to dry hair, left in place for 10 minutes, and then washed off with water. For treatment of scabies, lindane should be removed by washing 8 to 12 hours later; for head lice, lindane should left on for no more than 4 minutes and then rinsed with warm water. Malathion should be washed off with shampoo after waiting 8 to 12 hours.p. 1204A patient is infested with mites. Which drugs are appropriate for the nurse to administer?Malathion→Permethrin→CrotamitonBenzyl alcoholPyrethrins with piperonyl butoxideDrugs used to treat scabies (infestation with mites) include permethrin and crotamiton. Malathion, benzyl alcohol, andpyrethrins with piperonyl butoxide are used to treat pediculosis (infestation with lice).pp. 1202, 1203, 1204The nurse is administering pyrethrins with piperonyl butoxide. Which instruction should the nurse provide to the patient?→"Avoid the eye area.""Use a cool-water rinse.""Use solely for head lice.""Avoid use in 3-year-olds."Principal adverse effects of pyrethrins with piperonyl butoxide are irritation to the eyes and mucous membranes. Accordingly, contact with these areas should be avoided. Treatment consists of applying the preparation to the infested region, followed later by a warm-water rinse. Pyrethrins are approved for patients 2 years and older for pubic and head lice.p. 1203A patient gets severe itching after going to bed. In addition, there are small dotted lines on the wrists and elbows. Which condition would be most likely?→ScabiesPhthirus pubisPediculosis cilicarisPediculus humanus capitisThe primary symptom of scabies is pruritis, which is most intense after going to bed. Dotted lines are due to the female mite burrowing beneath the skin to lay eggs. Common sites include the wrists and elbows. Phthirus pubisis pubic lice. Pediculosis cilicaris is caused by lice on the eyelashes. Pediculus humanis capitusis the term for head lice.p. 1202The parent of a child with head lice asks the nurse when the child may return to school after treatment with permethrin 1% [Nix]. Which response by the nurse is most appropriate?"Two treatments usually are needed within 48 hours, so after that."
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Head louse, Pediculosis, Body louse, Crab louse, lindane, Pediculus humanus capitis