A nurse is instructing parents on treatment of pediculosis (head lice). Which should the nurse include in the teaching plan? Select all that apply
a. Bedding should be washed in warm water and dried on a low setting.
b. After treating the hair and scalp with a pediculicide, shampoo the hair with regular shampoo.
c. Retreat the hair and scalp with a pediculicide in 7 to 10 days.
d. Items that cannot be washed should be dry cleaned or sealed in plastic bags for 2 to 3 weeks.
e. Combs and brushes should be boiled in water for at least 10 minutes.
C, D, E
An over-the-counter pediculicide, permethrin 1% (Nix, Elimite, Acticin), kills head lice and eggs with one application and has residual activity (i.e., it stays in the hair after treatment) for 10 days. Nix Creme Rinse is applied to the hair after it is washed with a conditioner-free shampoo. The product should be rinsed out after 10 minutes. The hair should not be shampooed for 24 hours after the treatment. Even though the kill rate is high and there is residual action, retreatment should occur after 7 to 10 days. Combs and brushes should be boiled or soaked in antilice shampoo or hot water [greater than 60° C (140° F)] for at least 10 minutes. Advise parents to wash clothing (especially hats and jackets), bedding, and linens in hot water and dry at a hot dryer setting.
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The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore."
What is the nurse's most therapeutic response? a. "Don't be concerned. All young women get upset before this kind of surgery." b. "Certainly, I will be glad to tell her about hormone replacement." c. "She will get over this feeling soon." d. "No matter what I may say to her, it is you that needs to listen to her concerns and assure her."
The nurse auscultates breath sounds including sibilant wheezes, which are continuous musical sounds. Which of the following characteristics describes sibilant wheezes?
A) They result from air passing through widened air passages. B) They can be heard during inspiration and expiration. C) They are heard in clients with decreased secretions. D) They occur when the pleural surfaces are inflamed.
A patient complains of having to void frequently, burning on urination, and odorous urine. Based on these assessment findings, the nurse would suspect the patient has which of the following conditions?
A) stress incontinence C) urinary tract infection B) urge incontinence D) lower colon infection
A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state:
a. "Internet information must go through careful screening before it can be posted.". b. "Credibility, accuracy, and reasonableness of the information should be considered.". c. "It is important to have the hospital libra-rian verify the authenticity of the web-site.". d. "Most Internet information can be down-loaded or beamed to a smartphone or handheld device (personal digital assistant [PDA]).".