A child is seen in a clinic with a chief complaint of itching, especially at night. The nurse observes small ridges and dotted lines of erythema on the child's neck and buttocks. The nurse will expect the provider to order which medication initially?
a. Benzyl alcohol (Ulesfia)
b. Ivermectin (Stromectol)
c. Malathion (Ovide)
d. Permethrin (Elimite)
ANS: D
This child has symptoms of scabies, and permethrin is the first treatment of choice. Benzyl alcohol is used to treat head lice. Ivermectin is an oral medication that can be used but is not a first-line treatment. Malathion is used for lice.
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