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 should be assessed first in a child with suspected head trauma?

A. Response to verbal stimuli
B. Pupillary reaction
C. Skin color
D. Heart rate

Correct answer: A

Rationale: The correct answer is to assess the response to verbal stimuli first in a child with suspected head trauma. This assessment helps in determining the child's level of consciousness and neurological status. Assessing the response to verbal stimuli allows healthcare providers to quickly evaluate if the child is alert, oriented, and able to communicate effectively. This initial assessment is crucial in identifying any immediate concerns related to the child's neurological function. Choices B, C, and D are not the primary assessments in cases of suspected head trauma. While pupillary reaction, skin color, and heart rate are important assessments in trauma situations, assessing the response to verbal stimuli takes precedence in evaluating the neurological status of a child with head trauma.

3. You have been asked to help a top nutrition researcher conduct human experiments on vitamin C. As the subjects walk into the laboratory, you distribute all the vitamin C pill bottles to the girls and all the placebo pill bottles to the boys. What should you have done?

A. Giving all the boys the vitamin C and the girls the placebo, and telling them what they were getting.
B. Distributing the bottles randomly, randomizing the subjects, and telling them what they were getting.
C. Telling the subjects which group they were in, but preventing yourself from knowing the contents of the pill bottles.
D. Preventing yourself from knowing what is in the pill bottles, and distributing the bottles randomly to the subjects.

Correct answer: D

Rationale: The correct approach in a scientific experiment is to prevent yourself from knowing the contents of the pill bottles and distribute them randomly to the subjects. This randomization helps to avoid bias and ensures that the results are not influenced by preconceived notions. Option A is incorrect because it introduces gender bias by assigning pills based on gender. Option B is incorrect as it mentions telling the subjects what they are getting, which could lead to placebo effects. Option C is incorrect as it suggests disclosing group information to the subjects, which can also introduce bias.

4. What is a common clinical manifestation of Kawasaki disease?

A. Severe headaches
B. High fever lasting more than 5 days
C. Chronic cough
D. Severe abdominal pain

Correct answer: B

Rationale: A high fever lasting more than 5 days is a common clinical manifestation of Kawasaki disease. This fever is often accompanied by other symptoms such as rash and conjunctivitis. Severe headaches (Choice A), chronic cough (Choice C), and severe abdominal pain (Choice D) are not typically associated with Kawasaki disease, making them incorrect choices.

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.