A client has scabies and will be using permethrin 5% cream (Elimite). What is the best instruction by the nurse?
1. "Leave the medication on the body for 24 hours."
2. "Apply the medication twice, so it can be more effective."
3. "Apply the medication topically to the affected area."
4. "Leave the medication on the body for 8–14 hours."
Correct Answer: 4
Rationale 1: The medication does not need to be left on the body for 24 hours.
Rationale 2: One application of the medication should be sufficient.
Rationale 3: Telling the client to apply it topically is not specific enough.
Rationale 4: Leaving the medication on the body for 8–14 hours is necessary for the medication to be effective.
Global Rationale: Leaving the medication on the body for 8–14 hours is necessary for the medication to be effective. One application of the medication should be sufficient. Telling the client to apply it topically is not specific enough.
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