A client is being treated for lice. Which of the following medications would the nurse expect to see ...

The answer to question 1  4
Permethrin is applied for treatment of head lice. Diphenhydramine controls the itching but does not treat the infestation. Mupirocin treats impetigo, and acyclovir is for herpes simplex virus.

The answer to question 2  3
Impetigo is a common, superficial skin infection beginning as a focal erythema and progressing to pruritic vesicles, erosions, and honey-colored crusts. Oral herpes simplex would look like a cold sore. Tinea corporis has a circular, red, scaly border, and candidiasis is a proliferation of the normal yeast flora.

The answer to question 3  1, 2
To preserve vision and reduce the onset of diabetic retinopathy, the nurse should instruct the client to control blood glucose level, manage other complications, and stop smoking. The client should not be instructed to limit exercise, reduce reading, rest the eyes, or rub the eyes to prevent the onset of diabetic retinopathy.

The answer to question 4  1, 3, 5, 6
Interventions to improve dry eyes include drink 8 to 10 glasses of water each day; blink more frequently; avoid rubbing the eyes; and know that dry air makes the condition worse. Petroleum jelly is not a treatment for dry eyes. Avoiding the sun is good advice; however, it is not proven to help with dry eyes.

The answer to question 5  1, 2, 3, 4
Abnormal cerebrospinal fluid analysis findings include opening pressure 40 mmHg, which could indicate dehydration; cloudy in appearance would indicate an increase in white blood cells; elevated red blood cell count would indicate either a traumatic spinal tap or active bleeding; and elevated white blood cell count would indicate meningitis, tumors, or multiple sclerosis. Glucose level of 60 md/dL is a normal finding. Fluid pH of 7.35 is a normal finding.

The answer to question 6  4
Herpetic whitlow usually occurs on the fingertips and can resemble a bacterial infection or warts. Herpes gladiatorum is most frequently found in athletes who participate in contact sports. The appearance of herpes zoster is usually down a single dermatome. Herpes simplex is usually seen orally or on the genitals.

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