Lice and body mites have been discovered in an elementary school population. Which instructions should the school nurse send home to parents?
1. "Obtain over-the-counter antiparasitic lotion and apply to your children according to label directions."
2. "Look for small bugs in your children's hair or small objects attached to the hair shaft."
3. "Look for bugs between fingers, under the arms, and in the pubic area."
4. "Open the windows and doors of your house and let fresh air blow through to eliminate lice and mites in the home."
5. "If lice or mites are found, stuffed animals should be washed or sealed in an airtight bag for 2 weeks."
2,5
Rationale 1: If children do not have lice or mites, treatment is not necessary.
Rationale 2: Lice are small bugs that are found in the hair. The eggs or nits are small objects found attached to the hair shaft.
Rationale 3: Mites are nearly invisible to the naked eye. The parents should look for signs of scratching or complaints of itching in these areas.
Rationale 4: Fresh air will not eliminate the lice or mites.
Rationale 5: Personal objects may harbor and spread the infestation to others or may reinfest the child. All objects should be washed, vacuumed, or sealed in plastic for 2 weeks.
Global Rationale: Lice are small bugs that are found in the hair. The eggs or nits are small objects found attached to the hair shaft. Personal objects may harbor and spread the infestation to others or may reinfest the child. All objects should be washed, vacuumed, or sealed in plastic for 2 weeks. If children do not have lice or mites, treatment is not necessary. Mites are nearly invisible to the naked eye. The parents should look for signs of scratching or complaints of itching in these areas. Fresh air will not eliminate the lice or mites.
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