A client treated for head lice a week ago continues to complain of scalp itching. There is evidence of nits along the shafts of the hair. What should the nurse do first?

1. Wash the client's comb and brush
2. Obtain an order for medicated shampoo
3. Vigorously brush the client's hair over a sink
4. Washing the client's hair and apply conditioner


2

Rationale 1: The client's comb and brush can be washed at any time.

Rationale 2: The treatment cannot be repeated unless specifically ordered by the physician.

Rationale 3: Brushing the hair will not remove the nits.

Rationale 4: Conditioner should not be applied to hair that may be treated with medicated shampoo to treat lice.

Global Rationale: The treatment cannot be repeated unless specifically ordered by the physician. The client's comb and brush can be washed at any time. Brushing the hair will not remove the nits. Conditioner should not be applied to hair that may be treated with medicated shampoo to treat lice.

Nursing

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A 60-year-old man has presented to a clinic and is requesting screening for tumor markers after reading about them in a magazine. What can the clinician most accurately tell the man about the clinical use of tumor markers?

A) "Tumor markers are a very useful screening tool, but they only exist for a very few types of cancer." B) "Tests for the presence of tumor markers are limited by the fact that they are only accurate in the very early stages of cancer." C) "Tumor markers are an excellent screening tool, but it's only practical to test for those cancers that you're at risk of." D) "Tumor markers alone aren't enough to confirm whether you have cancer or not, so they're not a very useful screening tool."

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While reviewing a newly admitted older patient's medication history the nurse notes that the patient has been taking a beta-blocker for many years despite no apparent history of hypertension or cardiac disease

What action should the nurse first take? A) Hold the drug in the short term until an indication is determined B) Monitor the patient's blood pressure and apical heart rate closely C) Request that the physician providing care reconsider the use of the drug D) Investigate and provide non-pharmacologic measures to replace the drug

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A researcher wanting to locate a conceptual framework to guide a particular research study would be most likely to find one in which of the following sources?

a. A descriptive study b. A dissertation c. Empirical literature d. Theoretical literature

Nursing

An international effort to develop a universal evidence evaluation system is known as ____________; it ranks the strength and quality of evidence into four levels

a. AHRQ b. GRADE c. USPSTF d. WHO

Nursing