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
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Correct 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 crème rinse is applied
to the hair after it is washed with a conditioner-free shampoo. The product
should be rinsed out after 10 minutes.
Incorrect 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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