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    Ati Pediatrics Cumulative Proctored Exam Coker U Bsn

    A nurse is providing teaching to the parent of a child who has a new diagnosis of scabies. Which of the following information should the nurse include?

    Explanation & Rationale

    This scenario requires an understanding of the transmission and lifecycle of Sarcoptes scabiei. Knowledge of pediatric infectious diseases and public health protocols is necessary to educate parents on treatment, incubation periods, and the physiological cause of the intense itching associated with infestations. Choice A rationale Household members require prophylactic treatment regardless of symptoms because the incubation period lasts two to six weeks. Mites spread easily through skin-to-skin contact, necessitating simultaneous treatment of all close contacts to prevent cycle re-infestation within the home environment. Choice B rationale Scabies eggs actually hatch within three to four days after being deposited in the burrow. The thirty-day timeline is inaccurate, as the entire lifecycle from egg to adult occurs in approximately ten to fourteen days under the epidermis. Choice C rationale Scabies causes intense pruritus, especially at night, rather than nonpruritic blisters. Symptoms include linear burrows and papules resulting from a delayed type IV hypersensitivity reaction to the mite, its eggs, and fecal matter deposited under the host skin. Choice D rationale Scabies is an infestation caused by the Sarcoptes scabiei mite which burrows into the stratum corneum. The female mite tunnels to lay eggs, leading to localized inflammation and severe itching, which is the hallmark clinical manifestation of this condition.

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