A child has been diagnosed with scabies and the parents are ...

[ETearle]

A child has been diagnosed with scabies and the parents are taught about the use of 5 permethrin lotion (Elimite). Which statement by the parents indicates the need for further instruction?
 
  A.
  Elimite goes from the nape of the neck to the toes, except on the genitals.
  B.
  The lotion is left on until the next day, when a bath is given.
  C.
  This treatment will have to be repeated 1 week after the first.
  D.
  We will give our child a warm soapy bath before applying the lotion.

Question 2

A child presents to the emergency department with cutaneous manifestations of an allergic response. Which nursing diagnosis takes priority?
 
  A.
  Altered comfort related to itching lesions
  B.
  Impaired tissue integrity related to lesions
  C.
  Knowledge deficit related to unknown condition
  D.
  Risk for impaired airway secondary to edema

[jessofishing]

Answer to Question 1

ANS: B
Elimite is left on for 8 to 14 hours and then must be removed. The other statements show good understanding.

Answer to Question 2

ANS: D
Usually, actual nursing diagnoses take priority over risk for diagnoses, but in this case, risk for impaired airway is the priority. The child's airway can quickly become compromised due to laryngeal edema. The nurse places priority on frequent assessments of the child's airway. The other diagnoses are relevant, but not as important as the potential for compromised airway.