Page 893 - Saunders Comprehensive Review For NCLEX-RN

be laundered in hot water with detergent and dried in
a hot dryer for 20 minutes; bedding and clothing
needs to be changed daily and laundered.
5. Instruct parents that nonessential bedding and
clothing can be stored in a tightly sealed plastic bag
for 2 weeks and then washed.
6. Instruct parents to seal toys that cannot be washed or
dry-cleaned in a plastic bag for 2 weeks.
7. Instruct parents that furniture and carpets need to be
vacuumed frequently and that the dust bag from the
vacuum should be discarded after vacuuming.
8. Teach the child not to share clothing, headwear,
brushes, and combs.
9. Lice on the eyelashes or eyebrows may need to be
removed manually.
IV. Scabies
A. Description
1. Scabies is a parasitic skin disorder caused by an
infestation of Sarcoptes scabiei (itch mite).
2. Scabies is endemic among schoolchildren and
institutionalized populations as a result of close
personal contact.
3. Incubation period
a. The female mite burrows into the
epidermis, lays eggs, and dies in the
burrow after 4 to 5 weeks.
b. The eggs hatch in 3 to 5 days, and
larvae mature and complete their life
cycle.

4. Infectious period: During the entire course of

the infestation
B. Assessment (Box 29-3 and Fig. 29-2)

Scabies is transmitted by close personal contact with an infected person.

Household members and contacts of an infected child need to be treated simultaneously.
C. Interventions
1. Topical application of a scabicide is needed to kill the
mites.

2. Various products are available, and a

prescription is needed for the product.
3. One product known as lindane shampoo should not
be used in children younger than 2 years because of
the risk of neurotoxicity and seizures; all other
products have contraindications regarding their use,

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