The nurse is assessing a child with enterobiasis (pinworm) infection. Which of the following would be an expected finding? Select all that apply.
The nurse is assessing a child with enterobiasis (pinworm) infection. Which of the following would be an expected finding? Select all that apply.
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Gastrointestinal
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choices A and B are correct. Enterobiasis (pinworm) infections are a parasite that classically causes intense perianal itching that most commonly occurs at night. This constant itching causes the child to have sleep disturbances that may cause daytime irritability because of poor sleep.
Choice C is incorrect. Constipation is not a typical finding in enterobiasis. Loose stools may be more common due to irritation caused by the pinworms.
Choice D is incorrect. Ribbon-like stools are not associated with enterobiasis. Stool consistency is usually unaffected by pinworm infection.
Choice E is incorrect. Fever is not a typical symptom of enterobiasis. Itching and discomfort are more characteristic features.
Additional Info
✓ Pinworm infestation is the most common helminthic infection in the United States.
✓ Enterobiasis infestation is seldom harmful, and reinfestation is common, as ova deposited in the environment can survive three weeks.
✓ Pinworm eggs may be ingested when people touch their mouth after they scratch their perianal area or after they handle contaminated clothes or other objects (e.g., bed linens).
✓ Treatment is available over the counter and may need to be repeated if the hygiene habits are not implemented.
✓ The oral treatment will need to be repeated in two weeks to ensure total eradication of the parasite.
✓ The nurse should recommend that the child adheres to strict hand hygiene, cut the nails short to prevent ova under the nails, and do daily showering.
✓ It is also recommended that linens are washed with warm water.
