Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide

Signs and symptoms of scabies: • Rash • Red raised papules Nursing assessment for scabies: •

Severe itching Infection on the skin

• •

Head to toe general assessment o Check skin for pruritis o

Ask patient about duration and severity of itching • Inquire about exposure: sleeping quarters, living conditions, camping, and sexual partners • Document all lesions found and monitor for changes • Review laboratory reports o Skin scrapings can be examined under amicroscope o Ink placed on the skin will outline the scabies burrows in a linepattern Nursing diagnosis for scabies: • Risk for skin breakdown secondary to itching • Risk for infection related to excoriation and itching • Knowledge deficit related to disease management, hygiene, and risk of transmission • Altered comfort levels related to itching Nursing interventions for scabies: • Monitor for skin breakdown • Teach patient and family about strict hygiene and sanitation in living quarters • Launder all linens and clothing in hot water • Assist patient and family with application of medication per MDorder: o Permethrin (Elimite): First line drug of choice and most effective for scabies; teach patient to bathe first then leave lotion on for up to 12 hours o Lindane 1%: Effective treatment but has severe side effects including rash, seizures, aplastic anemia, and burning of the skin o Sulfur ointment: Safe for use in infants and pregnant women, but not very effective o Crotamiton (Eurax): Does not always kill mites and their eggs o Ivermectin: This is taken in pill form and is effective, but can have side effects o Steroids: Topical and oral steroids can be given to help reduce inflammation and itching o Anti-itch creams: Antihistamine creams can be used to help relieve itching

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