Ch. 30: Skin infections and infestations-Skin infestations (scabies and lice)

Question 1

Spread by direct contact with an infected person. The mite burrows into the skin and lays eggs. The eggs mature in 21 days

Answer 1

Scabies

Question 2

Pediculosis capitis

Answer 2

Head lice

Question 3

Spread by direct contact with an infected person, bedding, and clothing.

Answer 3

Head lice

Question 4

Head lice: The life span of the adult louse life is ___ and they can live up to ___ without a human host.

Answer 4

1 month; 48 hours

Question 5

Head lice: The female lays eggs at ____, close to the skin surface at the junction of the hair shaft. The nits hatch in ____

Answer 5

Night; 7-10 days

Question 6

Pediculosis corporis

Answer 6

Body lice

Question 7

Body lice: Spread by direct contact with infected person, bedding, and clothing. How does the adult louse feed? It can live in folds of clothing for ___. They die at room temp in ____.

Answer 7

Adult louse feeds on human blood
It can live in folds of clothing for 1 month
Die at room temp in 5-7 days

Question 8

Risk factors for scabies?

Answer 8

Nursing homes
Nursing facilities
Day care settings

Question 9

Risk factors for head lice?

Answer 9

Day care and school
Overcrowded conditions
Sharing combs, brushes, hats

Question 10

Risk factors for body lice?

Answer 10

Overcrowded contidions and poor hygiene

Question 11

Risk factors for pubic lice?

Answer 11

Multiple sex partners

Question 12

Scabies: When are you most itchy?

Answer 12

At night

Question 13

Scabies: Where is there usually a rash?

Answer 13

In between fingers

Question 14

Scabies: What are the markings on the skin?

Answer 14

Thin, pencil marks

Question 15

Scabies: How does it look in infants?

Answer 15

Widespread on body
Pimples on trunk
Blisters on palm of hand and soles of feet

Question 16

Scabies: How does it look in young children?

Answer 16

Most common on head, neck, shoulders, palms, and soles

Question 17

Scabies: How does it look in older children?

Answer 17

Most common on hands, wrists, genitals, and abdomen

Question 18

How does head lice appear?

Answer 18

Intense itching
Small, red bumps on scalp
Nits (white specks) on hair shaft

Question 19

How does body lice appear?

Answer 19

• Intense itching, worse around waist, under arms and anywhere where clothing is tight
• Red bumps on skin
• Changes in skin (if lice have been present for extended period)

Question 20

How does pubic lice appear?

Answer 20

Intense itching
BLUEISH-GREY skin (weird effect, prob should know)
Sores

Question 21

What do we asses for in scabies infestation?

Answer 21

Pencil like mark on skin

Question 22

What do we asses for in head lice?

Answer 22

Adult lice= hard to see (small, grayish tan, no wings)

Nits= look like dandruff on hair shaft and are firmly attached

Question 23

What do we assess for in body lice?

Answer 23

Adult lice= larger than other lice–>size of a sesame seed

Question 24

What is the color of body lice? What about the nits of body lice?

Answer 24

Tan to grayish-white with 6 legs

Nits: small grey white ovals seen on clothing, waist, or armpits

Question 25

What do adult pubic lice look like?

Answer 25

Crab-like appearance

Question 26

How do the nits of pubic lice look?

Answer 26

Grey-white ovals attached to the hair shaft

Question 27

What is treatment for scabies?

Answer 27

5% permethrin cream over entire body for one-time treatment (may need to repeat in 1 week)

Question 28

Who all needs to be treated when dealing with a person with scabies?

Answer 28

Scabies person | Entire family and persons who have been in contact with infected person during and 60 days after infection

Question 29

Scabies: how do we wash clothing and items?

Answer 29

Hot water

Question 30

Scabies: Necessary to vacuum carpet and furniture?

Answer 30

Yes!

Question 31

Scabies: What can we apply to help until itching subsides following treatment?

Answer 31

Calamine lotion or cool compresses

Question 32

Difficult cases of scabies--use what?

Answer 32

Oral ivermectin

Question 33

What is treatment for headlice?

Answer 33

Shampoo containing 1% permethrin | Remove nits with comb, repeat 7 days after shampoo treatment

Question 34

How do we wash clothing and other items of lice infested people?

Answer 34

Hot water with detergent

Question 35

What do we use for difficult cases of head lice?

Answer 35

Malathion 0.5% in isopropanol

Question 36

What is treatment for body lice?

Answer 36

Lotions containing 1% permethrin

Question 37

How do we washing clothing and items for body lice?

Answer 37

Hot water (130F or more) then machine dry in hot cycle

Question 38

How do we treat pubic lice?

Answer 38

Exactly the same as headlice

Question 39

How do we treat difficult cases of pubic lice?

Answer 39

Repeat shampoo in 4-7 days

Question 40

What type of lice should we assess for other STIs?

Answer 40

Pubic lice

Question 41

Do home remedies help with this types of infections?

Answer 41

We need to teach parents and children to AVOID home remedies, as it may WORSEN infection

Question 42

What if items can't be laundered?

Answer 42

Bag them in tightly sealed bags for 14 days

Question 43

What about all the combs and brushs used or that are around. What can we do instead of throwing them away?

Answer 43

All hair accessories need to be boiled in lice killing produces for ONE HOUR

Question 44

What are some secondary infections?

Answer 44

Staph Strep Haem. Flu

Question 45

``` A nurse is assessing an infant who has scabies. What are the expected findings? (select all that apply) A. Presence of nits on hair shaft B. Pencil-like marks on hands C. Blisters on soles of feet D. Bluish-gray skin color E. Pimples on trunk ```

Answer 45

B, C, E

Question 46

A nurse is teaching a parent of a child who has pediculosis capitis. Which if the following should the nurse include in teaching. A. Apply mayo to affected area at night B. Treat all household pets C. Use an OTC med containing 1% permethrin D. Discard the childs stuffed animals

Answer 46

C