The mother of a 12-year-old child reports that her daughter ...

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The mother of a 12-year-old child reports that her daughter frequently scratches her scalp and the hair is clumpy and smells really bad. What should the nurse do to assist this mother?
 
  1. Suggest that the daughter be checked for head lice.
  2. Suggest that the daughter have a blood glucose level drawn.
  3. Suggest that the daughter wash her hair.
  4. Suggest that the daughter have a haircut.

Question 2

A female patient comes into the clinic with eyelid redness and edema. What would be appropriate for the nurse to include in the assessment of this patient?
 
  1. Ask the patient if she has been thoroughly removing all her eye makeup.
  2. Ask if the patient has recently been in a public swimming pool.
  3. Ask the patient if she shaves her legs.
  4. Ask the patient if she has recently changed her facial soap.

[parker125]

Answer to Question 1

Correct Answer: 1
Pediculosis capitis is an infestation with head lice. It is more common in female children. Manifestations of head lice include pruritis, scratching, and erythema of the scalp. If untreated, the hair appears matted and crusted with a foul-smelling substance. There are no indications from the information provided that the child has diabetes. Although hygiene may be an issue, the greatest indicator points toward the presence of head lice. There is no need to encourage a haircut at this time.

Answer to Question 2

Correct Answer: 1
This patient is experiencing folliculitis, a bacterial infection, of the hair follicle on the eyelid. This condition is found more frequently on the scalp and extremities. When found on the eyelids, it is called a stye. It is caused by a bacterial infection of the hair follicle, most commonly caused by Staphylococcus aureus. Not removing makeup could potentiate the development of this disorder. The patient's complaints are in the orbital area. An infection caused by the swimming pool would encompass the entire body. Shaving would involve the legs. The complaints are not generalized on the face but localized in the eye area, so the facial soap is not the culprit.