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    Ati nur 275 paediatrics final proctored exam

    A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

    Explanation & Rationale

    A. "Toys that can't be dry cleaned or washed must be thrown out." Non-washable items (like stuffed animals) do not need to be discarded. They can be sealed in a plastic bag for 2 weeks. The lice will die from starvation/lack of a host within that time frame. B. "All recently used clothing, bedding, and towels must be washed in hot water." Lice and nits (eggs) are killed by exposure to heat. Items used by the child in the 2 days prior to treatment should be machine washed in hot water (>130°F or 54.4°C) and dried on a high heat cycle. C. "My child must be free from nits before returning to school." While some schools historically had "no nit" policies, the American Academy of Pediatrics (AAP) and CDC now recommend that students can return to school after the first treatment has started. Nits (eggs) are cemented to the hair shaft and are not contagious; only live lice transmit the infestation. D. "I will treat all the family members to be on the safe side." Prophylactic treatment with pediculicides is not recommended due to exposure to toxic chemicals and the risk of resistance. Only family members who are actually infested (live lice found) or those who share a bed with the infested child should be treated.

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