A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease.
Which nursing action is appropriate?

Inform the client that she will need to bring the tick for testing.

Inform the client that the tick is needed to perform a test.

Refer the client for a blood test immediately.

Ask the client about the size and color of the tick.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Informing the client that she will need to bring the tick for testing is not necessary. While having the tick can help identify the species and potential risk, it is not required for testing for Lyme disease. The diagnosis can be made based on clinical symptoms and blood tests.

Choice B rationale

Informing the client that the tick is needed to perform a test is incorrect. The presence of the tick is not required for testing for Lyme disease. Blood tests can detect antibodies to the bacteria that cause Lyme disease, even if the tick is not available.

Choice C rationale

Referring the client for a blood test immediately is the appropriate action. Early testing can help diagnose Lyme disease and initiate treatment promptly. Blood tests can detect antibodies to Borrelia burgdorferi, the bacteria that cause Lyme disease, and help confirm the diagnosis.

Choice D rationale

Asking the client about the size and color of the tick is not the most appropriate action. While this information can provide some context, it does not directly contribute to the diagnosis of Lyme disease. The priority is to refer the client for a blood test to confirm the presence of the infection.

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Correct Answer is B

Explanation

Choice A rationale

Timolol is a beta-blocker used to reduce intraocular pressure in patients with open-angle glaucoma. It is not intended for short-term use or gradual tapering off. The medication must be used consistently to maintain its therapeutic effect.

Choice B rationale

Timolol should be applied on a regular schedule for the rest of the client’s life to effectively manage intraocular pressure and prevent further damage to the optic nerve.

Choice C rationale

Timolol does not cure glaucoma or normalize intraocular pressure permanently. Continuous use is necessary to control the condition.

Choice D rationale

Timolol is not used as a pain reliever. It is specifically prescribed to manage intraocular pressure in glaucoma patients.

A. Ask the client if she would prefer a liquid diet. B. Assign an assistive personnel to feed the client. C. Explain to the client that her tray is here and place her hands on it. D. Describe to the client the location of the food on the tray. E. Describe to the client the location of the food on the tray.

Correct Answer is D

Explanation

Choice A rationale

Asking the client if she would prefer a liquid diet does not promote independence in eating. It may limit the client’s dietary options and does not address the need for the client to learn how to eat independently with bilateral eye patches.

Choice B rationale

Assigning an assistive personnel to feed the client does not promote independence. It makes the client reliant on others for feeding, which does not help in developing self-feeding skills.

Choice C rationale

Explaining to the client that her tray is here and placing her hands on it is a step towards promoting independence. However, it does not provide enough information for the client to locate and identify the food items on the tray independently.

Choice D rationale

Describing to the client the location of the food on the tray promotes independence by enabling the client to use her sense of touch and memory to locate and consume the food items without assistance.

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A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

Correct Answer is D

Explanation

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A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?

A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease.
Which nursing action is appropriate?