The school reviewed the pediculosis capitis (head lice) policy and removed the "no nit" requirement. The nurse explains that now, when a child is found to have nits, the parents must do which before the child can return to school?
a. No treatment is necessary with the policy change.
b. Shampoo and then trim the child's hair to prevent reinfestation.
c. The child can remain in school with treatment done at home.
d. Treat the child with a shampoo to treat lice and comb with a fine-tooth comb every day until nits are eliminated.
ANS: C
Many children have missed significant amounts of school time with "no nit" policies. The child should be appropriately treated with a pediculicide and a fine-tooth comb. The environment needs to be treated to prevent reinfestation. The treatment with the pediculicide will kill the lice and leave nit casings. Cutting the child's hair is not recommended; lice infest short hair as well as long. With a "no nit" policy, treating the child with a shampoo to treat lice and combing the hair with a fine-tooth comb every day until nits are eliminated is the correct treatment. The policy change recognizes that most nits do not become lice.
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