A client has been prescribed permethrin (Nix) for the treatment of body mites. What medication information should the nurse provide?
1. "Make certain you get the 1% lotion."
2. "You should leave the lotion on your body for 10 minutes."
3. "You should expect almost immediate relief from the itching."
4. "You may feel some stinging or tingling while the lotion is being used."
5. "You should not use this medication if you are sensitive to chrysanthemums."
4,5
Rationale 1: The 1% lotion is for head lice. This client should obtain the 5% lotion.
Rationale 2: The medication should be allowed to remain on the body for 8–14 hours before removal.
Rationale 3: Itching is caused by the penetration of the skin by the mites. It may persist up to 2 or 3 weeks.
Rationale 4: Transient stinging or tingling is often noted with this medication.
Rationale 5: Permethrin is obtained from chrysanthemums.
Global Rationale: The medication should be allowed to remain on the body for 8–14 hours before removal. Transient stinging or tingling is often noted with this medication. Permethrin is obtained from chrysanthemums. The 1% lotion is for head lice. This client should obtain the 5% lotion. Itching is caused by the penetration of the skin by the mites. It may persist up to 2 or 3 weeks.
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