Author Question: The physician orders lindane (Kwell) for nursing home clients who have contracted head lice. The ... (Read 26 times)

fahad · **on:** Jul 23, 2018

The physician orders lindane (Kwell) for nursing home clients who have contracted head lice. The nurse will contact the physician when one of the clients has which medical diagnosis?

1. Diabetes mellitus
2. Seizures
3. Stroke
4. Hypothyroidism

Question 2

The mother of a young child calls the clinic and tells the nurse that she has just discovered head lice in her daughter's hair. What is the best instruction by the nurse?

1. Purchase an over-the-counter lice medication and follow the package directions exactly.
2. Take her to your beautician for treatment.
3. Bring her to the clinic for evaluation.
4. Be certain to eliminate all the lice with the first application of medication as treatment cannot be done again for a month.

jamesnevil303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: There is no contraindication to the use of lindane (Kwell) in a client with diabetes mellitus.
Rationale 2: Lindane (Kwell) can cause serious nervous system toxicity and should not be used in clients with seizure disorder.
Rationale 3: . There is no contraindication to the use of lindane (Kwell) in a client who has had a stroke.
Rationale 4: There is no contraindication to the use of lindane (Kwell) in a client with hypothyroidism.

Answer to Question 2

Correct Answer: 1
Rationale 1: Package directions should be followed exactly.
Rationale 2: Lice are easily spread. Exposing those in the beauty shop to lice is not the best plan.
Rationale 3: It is easy to identify lice at home and instruction for treatment can be given over the telephone. Lice are easily spread, so it is not the best plan to have the child in the clinic waiting room.
Rationale 4: Treatment can be repeated, usually in one week, if necessary.