A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies?
a. "The itching will stop after the cream is applied."
b. "We will complete extensive aggressive housecleaning."
c. "We will apply the cream to only the affected areas as directed."
d. "Everyone who has been in close contact with my child will need to be treated."
ANS: D
Because of the length of time between infestation and physical symptoms (30 to 60 days), all persons who were in close contact with the affected child need treatment. Families need to know that although the mite will be killed, the rash and the itch will not be eliminated until the stratum corneum is replaced, which takes approximately 2 to 3 weeks. Aggressive housecleaning is not necessary, but surface vacuuming of heavily used rooms by a person with crusted scabies is recommended. The prescribed cream should be thoroughly and gently massaged into all skin surfaces (not just the areas that have a rash) from the head to the soles of the feet.
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