A nurse is contributing to the plan of care for a school-age child who has pediculosis.Which of the following interventions should the nurse include in the plan of care?
Explanation & Rationale
Choice A rationaleDrying clothing in a hot dryer for at least 20 minutes effectively kills head lice and nits, which are sensitive to high temperatures. Heat disrupts the lipid membranes of lice and dehydrates the eggs, preventing further infestation. This intervention ensures that both live organisms and their offspring are eradicated.Choice B rationaleNonwashable items should be sealed in a plastic bag for 14 days, not 7, to ensure the life cycle of lice is interrupted completely. Lice can survive for up to 10 days without a host. This extended duration ensures that any eggs present hatch and the lice perish in the sealed environment.Choice C rationaleAntibacterial solutions are ineffective against lice and nits, as these organisms are not bacteria. Proper disinfection requires soaking combs and brushes in very hot water or specific insecticidal solutions that target lice. This method disrupts their cellular structure, leading to death.Choice D rationaleWashing clothing and bed linens in water at 100°F (37.7°C) is insufficient to kill lice, as they can withstand this temperature. Water temperatures should be at least 130°F (54.4°C) to be effective. This ensures complete eradication through thermal inactivation of both adult lice and nits.