A mother of a school-aged child asks the nurse why her child continues to have itching with no sign of mites. Which response by the nurse is the most appropriate?
1. "You will have to switch to something else besides Lindane (Kwell)."
2. "Itching is common, even after the mites have been killed."
3. "The mites are too small to see, and treatment should be continued."
4. "Lindane (Kwell) usually works, but your child must need something stronger."
Correct Answer: 2
Rationale 1: "You will have to switch to something else besides Lindane (Kwell)" is incorrect because persistent itch is not unusual.
Rationale 2: Clients should be aware that penetration of the skin with mites causes itching, which lasts for up to 2–3 weeks, even after the parasites have been killed.
Rationale 3: "The mites are too small to see, and treatment should be continued" is incorrect because penetration of the skin with mites causes itching, which lasts for up to 2–3 weeks, even after the parasites have been killed.
Rationale 4: "Lindane (Kwell) usually works, but your child must need something stronger" is incorrect because persistent itch is not unusual.
Global Rationale: Clients should be aware that penetration of the skin with mites causes itching, which lasts for up to 2—3 weeks, even after the parasites have been killed. You will have to switch to something else besides Lindane (Kwell)" is incorrect because persistent itch is not unusual. "The mites are too small to see, and treatment should be continued" is incorrect because penetration of the skin with mites causes itching, which lasts for up to 2—3 weeks, even after the parasites have been killed. "Lindane (Kwell) usually works, but your child must need something stronger" is incorrect because persistent itch is not unusual.
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