The client calls the clinic and is frantic that her two children ...

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The client calls the clinic and is frantic that her two children have been sent home from school with head lice. She has treated their scalps, but does not know what else to do. What will be the best teaching by the nurse?
 
  1. Wash the bed linens and clothing that have come into contact with the children.
  2. Just continue to apply the medication to their scalps as directed.
  3. Do not let your children return to the school until it is fumigated.
  4. Isolate the affected children from other family members for three days.

Question 2

The client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
 
  1. A pill would be more effective than this messy lotion that I have to use.
  2. If this medication doesn't help me, there is nothing left to try.
  3. Use of this lotion is really a lot safer and more effective than a pill.
  4. Long-term use of this lotion can lead to dependence on the drug.

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Answer to Question 1

Correct Answer: 1
Rationale 1: Lice are spread by direct contact and can live many days on inanimate objects. The children could be re-infected if household items are not treated.
Rationale 2: It is not necessary to continue applying medication to the children's scalps.
Rationale 3: Head lice are spread by direct contact; it is not necessary to fumigate the school.
Rationale 4: It is not necessary to isolate the affected children.

Answer to Question 2

Correct Answer: 3
Rationale 1: Topical agents, not oral agents, are the most effective treatment for dermatitis.
Rationale 2: If topical medications are ineffective, they can be augmented with oral agents.
Rationale 3: Topical agents are less likely to cause systemic effects than are oral medications, so they are safer and they are more effective..
Rationale 4: Dependence does not occur with glucocorticoids.

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TY

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