Correct Answer: B

Rationale: Take a hot shower daily to relieve itching.' This instruction is not recommended because hot water can exacerbate itching and worsen the condition. Hot showers can strip the skin of its natural oils, leading to further dryness and irritation, which may aggravate the itching associated with scabies. 'Wear loose fitting clothing while you are experiencing itching.' This instruction is appropriate because loose-fitting clothing can help minimize friction and irritation on the skin affected by scabies. Tight clothing can exacerbate itching and discomfort, so wearing loose clothing can provide relief and allow the skin to breathe. 'Add fabric softener to linens when they are washed.' This instruction is not recommended because fabric softeners may contain chemicals or fragrances that can irritate the skin, especially for someone with pruritus or scabies. It's best to use gentle, fragrance-free laundry detergent to wash linens and clothing to minimize potential irritation. 'Use a soft bristle brush to gently rub the affected areas.' This instruction is not recommended because using a brush, even if it has soft bristles, can further irritate the skin and potentially spread the scabies mites to other areas of the body. It's best to avoid any abrasive or vigorous rubbing of the affected areas and instead focus on gentle cleansing and moisturizing techniques.

Correct Answer: C

Rationale: You will need to take the entire prescription of antibiotics even if your symptoms improve.' Atopic dermatitis is not typically treated with antibiotics, as it is not caused by a bacterial infection.
Therefore, this statement is not relevant and would not be included in the teaching. 'The doctor will remove the lesions with liquid nitrogen.' Liquid nitrogen is not typically used to remove lesions associated with atopic dermatitis. Atopic dermatitis lesions are usually managed with topical treatments and other measures to reduce inflammation and itching.
Therefore, this statement is not accurate and would not be included in the teaching. 'The doctor might recommend an antihistamine to help control your symptoms.' Antihistamines may be prescribed to help relieve itching associated with atopic dermatitis. Itching is a common symptom of atopic dermatitis, and antihistamines can help reduce this symptom.
Therefore, this statement is relevant and would be included in the teaching. 'You can relieve your child's discomfort by applying warm compresses to the lesions.' Warm compresses can exacerbate itching associated with atopic dermatitis by increasing blood flow.

Correct Answer: A

Rationale: Reports of exposure to a skin irritant: This finding is consistent with contact dermatitis, as it typically occurs due to exposure to irritants or allergens.
Therefore, it is an expected finding. Elevated temperature: Elevated temperature is not typically associated with contact dermatitis unless there is a secondary infection. It is not a typical finding in uncomplicated contact dermatitis. Denial of pruritus: Pruritus, or itching, is a common symptom of contact dermatitis. Clients with contact dermatitis often experience itching or discomfort in the affected area.
Therefore, denial of pruritus would be an unexpected finding. Reports of joint discomfort: Joint discomfort is not typically associated with contact dermatitis. Contact dermatitis primarily affects the skin and does not usually involve the joints.
Therefore, reports of joint discomfort would be an unexpected finding.

Correct Answer: C

Rationale: Children with Reye syndrome are admitted to the hospital: This statement is accurate. Children with Reye syndrome often require hospital admission for monitoring and supportive care.
Therefore, it does not indicate a need for further education. I will have my children immunized against varicella and influenza: This statement is also accurate. Vaccination against varicella (chickenpox) and influenza is recommended to prevent these illnesses. It does not indicate a need for further education. I will give aspirin to my child to treat a headache: This statement is concerning because giving aspirin to a child with Reye syndrome can worsen their condition. Aspirin use is contraindicated in children with viral illnesses due to the risk of Reye syndrome.
Therefore, this statement indicates a need for further education. I will make sure not to give my child any products containing aspirin: This statement is accurate. Avoiding products containing aspirin is essential to prevent the risk of Reye syndrome in children. It does not indicate a need for further education.

Correct Answer: A

Rationale: Firmly attached white particles on the hair: Firmly attached white particles on the hair are characteristic of nits, which are the eggs of lice. While this finding supports the diagnosis of pediculosis capitis, it is not a definitive indication on its own. Itching and scratching of the head: Itching and scratching of the head are common symptoms of pediculosis capitis. However, they are also common symptoms of various other scalp conditions, so they are not definitive indications. Thick, yellow-crusted lesions on a red base: This description is more characteristic of impetigo, a bacterial skin infection, rather than pediculosis capitis. Impetigo typically presents with yellow-crusted lesions on a red base, but it does not involve lice infestation. Patchy areas of hair loss: Patchy areas of hair loss are not typically associated with pediculosis capitis. This finding is more suggestive of conditions like alopecia areata or fungal infections.