Chapter 100

A parent has used permethrin [Nix] twice to treat head lice in a child. Two weeks after the last treatment, head lice are again found in the child's hair. The parent asks the nurse what to do. The nurse will recommend asking the child's provider about which therapy? a. Applying lindane 1% shampoo b. Cutting the child's hair c. Ordering permethrin 5% [Elimite] d. Using benzyl alcohol [Ulesfia]

d. Using benzyl alcohol [Ulesfia]

Two days after a child is treated with permethrin [Nix] for head lice, a parent calls the clinic to report seeing nits and a few live lice on the child's scalp. The nurse will tell the parent to: a. ask the provider about using benzyl alcohol [Ulesfia]. b. cut the areas of the child's hair where nits are present. c. retreat the child's hair with permethrin [Nix]. d. use a fine-toothed comb to remove nits and live lice.

d. use a fine-toothed comb to remove nits and live lice.

A child is seen in a clinic with a chief complaint of itching, especially at night. The nurse observes small ridges and dotted lines of erythema on the child's neck and buttocks. The nurse will expect the provider to order which medication initially? a. Benzyl alcohol [Ulesfia] b. Ivermectin [Stromectol] c. Malathion [Ovide] d. Permethrin [Elimite]

d. Permethrin [Elimite]

A nurse is teaching a class at a community center on communicable diseases. Which statement by a member of the class best demonstrates understanding of the epidemiology of head lice? a. "All socioeconomic groups are at risk for this infestation." b. "Head lice affect only people in crowded environments." c. "Head lice are transmitted only by direct person-to-person contact." d. "The infestation can be acquired from house pets."

a. "All socioeconomic groups are at risk for this infestation."

A nurse is teaching a parent about treating a child for scabies. Which statement by the parent indicates understanding of the treatment? a. "I should wash all bedding and clothing as well as applying the medicine." b. "I will apply the cream to the visible burrows and areas of itching." c. "More than one application of the cream may be needed." d. "The cream may cause systemic side effects."

a. "I should wash all bedding and clothing as well as applying the medicine."

A patient is treated for Phthirus pubis with permethrin 1% lotion. Two days after using the lotion as directed, the patient calls to report increased itching, erythema, and edema of the pubic skin. What will the nurse tell the patient? a. This is an expected effect of the treatment and will subside. b. This represents an allergic reaction to the lotion. c. The patient should ask the provider about using malathion 0.5% lotion. d. The patient should repeat the permethrin now and contact the provider if no improvement is seen.

a. This is an expected effect of the treatment and will subside.

A patient who has scabies is treated with permethrin 5% cream. The patient calls the nurse 1 week after treatment to report continued intense itching. What will the nurse tell this patient? a. "This is a hypersensitivity reaction to the permethrin." b. "This is the body's normal response to the scabies mites." c. "You will need a second treatment of the permethrin." d. "You will need to take ivermectin to clear up the infestation."

b. "This is the body's normal response to the scabies mites."

A nurse is teaching a group of nursing students how to examine children in a day care center for pediculus humanus capitis (head lice). Which statement by a student indicates understanding of this teaching? a. "Adult lice are easily visible on the hair shaft." b. "Children from lower socioeconomic families are more likely to have lice." c. "I may observe hives, boils, and impetigo on the child's scalp if lice are present." d. "I should be careful to prevent the lice from jumping into my hair."

c. "I may observe hives, boils, and impetigo on the child's scalp if lice are present."

A patient has completed treatment with lindane shampoo for pediculosis, but the infestation has not been eradicated. The patient asks the nurse about repeating the treatment. What will the nurse tell the patient? a. A second treatment may be administered in 2 to 4 weeks. b. Lindane continues to have residual effects for several weeks after treatment. c. Repeat use of this drug may cause serious side effects. d. The patient should ask the prescriber to order lindane cream for a second treatment.

c. Repeat use of this drug may cause serious side effects.

A public health nurse visits with the parents of a child who has body lice. It is most important that the nurse tell the parents that: a. body lice are transmitted by direct person-to-person contact. b. treatment of skin surfaces will eradicate the infestation. c. all clothing and bedding must be disinfected. d. lice burrow into the body, and vigorous scrubbing is required to remove them.

c. all clothing and bedding must be disinfected.

A parent has been instructed to apply a combination product of pyrethrins with piperonyl butoxide [RID] to treat head lice in a child. The parent asks the nurse why it is necessary to repeat the application in 9 days. The nurse will respond by telling the parent that: a. a second treatment helps combat medication resistance. b. the dose needed to kill lice is too toxic to use all at once. c. the combination is active only against adult lice and not ova. d. the second dose helps rid the hair of nits and ova.

c. the combination is active only against adult lice and not ova.