how should a nurse manage a child with scabies

HESI LPN

Nutrition Final Exam

1. How should a healthcare professional manage a child with scabies?

A. Use topical permethrin cream
B. Administer oral antibiotics
C. Apply topical antifungals
D. Provide supportive care only

Correct answer: A

Rationale: Corrected Rationale: Topical permethrin cream is the appropriate treatment for scabies as it effectively kills the mites causing the infestation. Oral antibiotics are not indicated for scabies as it is not a bacterial infection. Topical antifungals are used to treat fungal infections, not scabies. Providing supportive care only would not address the underlying cause of scabies, which is the mite infestation.

2. What is a common sign of developmental dysplasia of the hip (DDH) in infants?

A. Dislocated patella
B. Limited abduction of the hip
C. Swelling of the knee
D. Hyperextension of the leg

Correct answer: B

Rationale: Limited abduction of the hip is a common sign of developmental dysplasia of the hip in infants. It indicates possible hip dislocation or instability, making it a key clinical manifestation to assess for DDH. Dislocated patella (Choice A) is not typically associated with DDH. Swelling of the knee (Choice C) and hyperextension of the leg (Choice D) are not specific signs linked to DDH in infants, further supporting why they are incorrect choices.

3. What is an essential aspect of managing a child with juvenile idiopathic arthritis (JIA)?

A. Encouraging joint mobility and physical therapy
B. Restricting all forms of exercise
C. Increasing sugar intake
D. Using only oral medications

Correct answer: A

Rationale: Encouraging joint mobility and physical therapy is crucial in managing juvenile idiopathic arthritis (JIA). This approach helps maintain joint function, reduce stiffness, and improve the overall quality of life for children with JIA. Restricting all forms of exercise (Choice B) is not recommended, as appropriate physical activity is beneficial for joint health and overall well-being. Increasing sugar intake (Choice C) is not a recommended practice for managing JIA, as a healthy diet is important for overall well-being and can help reduce inflammation. Using only oral medications (Choice D) may not be sufficient for managing JIA, as a comprehensive treatment plan often includes a combination of medications, physical therapy, and other interventions to effectively manage the condition.

4. What is the study of how a person's genes interact with nutrients?

A. genetic counseling
B. nutritional genomics
C. genetic metabolomics
D. nutritional genetics

Correct answer: B

Rationale: Nutritional genomics, the correct answer, specifically focuses on how a person's genes interact with nutrients, affecting health and disease. Genetic counseling (choice A) refers to the process of helping people understand and adapt to the medical, psychological, and familial implications of genetic contributions to disease. Genetic metabolomics (choice C) combines genetic and metabolomic data to study metabolic pathways. Nutritional genetics (choice D) generally refers to the broader field of genetics as it relates to nutrition, while nutritional genomics, the most precise term, delves into the specific gene-nutrient interactions.

5. How should a healthcare provider address a child's concerns about a new medical diagnosis?

A. Provide clear and age-appropriate information
B. Avoid discussing the diagnosis
C. Refer to a specialist immediately
D. Suggest seeking alternative therapies

Correct answer: A

Rationale: Correct answer: Providing clear and age-appropriate information is crucial when addressing a child's concerns about a new medical diagnosis. Children often feel anxious and confused when faced with health issues, so offering them information in a way they can understand helps alleviate their fears and empowers them to cope better. Choice B is incorrect because avoiding discussing the diagnosis can lead to increased anxiety and uncertainty in the child. Choice C is incorrect as referring to a specialist immediately may not be necessary at the initial stage of addressing the child's concerns. Choice D is incorrect as suggesting alternative therapies without providing proper information about the medical diagnosis may not be suitable or effective.