Page 991 - Saunders Comprehensive Review For NCLEX-RN

classrooms or day care centers.
2. Pinworms (enterobiasis) are universally present in
temperate climate zones and are easily transmitted in
crowded environments.
B. Assessment
1. Giardiasis
a. Diarrhea and vomiting
b. Anorexia
c. Failure to thrive
d. Abdominal cramps with intermittent
loose stools and constipation
e. Steatorrhea
f. Stool specimens from 3 or more
collections are used for diagnosis.
2. Pinworms
a. Intense perianal itching
b. Irritability, restlessness
c. Poor sleeping
d. Bed wetting
C. Interventions
1. Giardiasis
a. Medications that kill the parasites may
be prescribed; medications are not
usually prescribed for children
younger than 2 years.
b. Caregivers should wash hands
meticulously.
c. Provide education to family and
caregivers regarding sanitary practices.

2. Pinworms

a. Perform a visual inspection of the anus
with a flashlight 2 to 3 hours after
sleep.
b. The tape test is the most common
diagnostic test.
c. Educate the family and caregivers
regarding the tape test. A loop of
transparent tape is placed firmly
against the child’s perianal area; it is
removed in the morning and placed in
a glass jar or plastic bag and
transported to the laboratory for
analysis.
d. Medications that kill the parasites may
be prescribed; medications are not
usually prescribed for children
younger than 2 years.

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