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Exam question on scabies



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Oct 03, 2008 03:28 PM

Exam question on scabies


On my pediatrics exam today, there was a question that caught me off guard. Maybe you guys can help.

A nurse is caring for a child who is suspected of having scabies. Which should the nurse do?

A.) carefully examine the skin
B.) use a magnifying glass
C.) wear gloves

I put A.) because wearing gloves is a given for doing a skin examination if you don't know what you're getting into. If a child is suspected of having scabies, the child is going to have lesions of some sort and you wouldn't touch that skin without gloves. Anyone else?


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10 Comments
No. 1
Old Oct 03, 2008, 04:07 PM

Default Re: Exam question on scabies
B. Scabies are actually paracites that can be seen with a magnifying glass giving you a pretty quick Dx.
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No. 2
Old Oct 03, 2008, 05:41 PM

Default Re: Exam question on scabies
I personally with that info would have said c - wear gloves because they do spread. Maslows - safety.

In order to see the scabies you actually need to do a scrapping of the skin, that the nurse might do - but I think the physician would look through the microscope at the slide. If it is scabies the rash is obvious so I am not sure about the careful examination of the skin.

This is a good question and I look forward to knowing what the correct answer was.
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No. 3
Old Oct 03, 2008, 05:51 PM

Default Re: Exam question on scabies
You know, I think you are right. I read the question again and it did say "caring for" rather than assessing for which would/could make a big difference.
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No. 4
from NYDreamer
Old Oct 03, 2008, 05:59 PM

Default Re: Exam question on scabies
I would have chosen c: wear gloves
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No. 5
from loricatus
Old Oct 03, 2008, 06:08 PM

Default Re: Exam question on scabies
Suspected scabies requires contact isolation. You aren't going to go near the patient without some form of barrier between you and their skin; so, gloves should be the correct answer.

Personally, I would be putting on a lot more than gloves. Caught them once from a patient and they aren't fun having.

Just started to itch thinking about it-----YUCKKKKKK
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No. 6
from Daytonite
Old Oct 04, 2008, 02:30 AM

A nurse is caring for a child who is suspected of having scabies. Which should the nurse do?

A.) carefully examine the skin
B.) use a magnifying glass
C.) wear gloves
I've gotten scabies twice working with clients. You can't see them. They burrow under the skin. If you know they have them, wear gloves.
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No. 7
Old Oct 04, 2008, 03:32 AM

Default Re: Exam question on scabies
Originally Posted by Daytonite View Post
C.) wear gloves
I've gotten scabies twice working with clients. You can't see them. They burrow under the skin. If you know they have them, wear gloves.

I agree-- definitively priority is to wear gloves because it is communicable.
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No. 8
from MB37
Old Oct 04, 2008, 10:07 AM

Default Re: Exam question on scabies
Definitely C. The child is already "suspected of" having scabies, so there's no need for the nurse to attempt to give him/her a medical diagnosis. That's the physician's job. The nurse needs to care for the pt's needs, and when doing should wear gloves to try to prevent spreading it to other pts/herself.
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No. 9
Old Oct 04, 2008, 04:28 PM

Default Re: Exam question on scabies
Originally Posted by MB37 View Post
Definitely C. The child is already "suspected of" having scabies, so there's no need for the nurse to attempt to give him/her a medical diagnosis. That's the physician's job. The nurse needs to care for the pt's needs, and when doing should wear gloves to try to prevent spreading it to other pts/herself.
Thanks! I definitely understand where I went wrong with this question. That's a really good explanation.
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