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 ["A","B"]

Explanation

Choice A rationale

Intubation equipment and oxygen are essential for managing airway obstruction and ensuring adequate oxygenation in a patient experiencing anaphylaxis due to a severe peanut allergy.

Choice B rationale

Epinephrine is the first-line treatment for anaphylaxis as it rapidly reverses the symptoms by constricting blood vessels, relaxing muscles in the airways, and reducing swelling.

Choice C rationale

Blood administration equipment is not typically required for managing anaphylaxis unless there is a concurrent condition that necessitates it.

Choice D rationale

A Foley catheter is not relevant to the immediate management of anaphylaxis.

A. To expand the blood volume. B. To enhance clotting factors. C. To avoid fever and chills. D. To prevent urticaria.

Correct Answer is D

Explanation

Choice A rationale

Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.

Choice B rationale

Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.

Choice C rationale

While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.

Choice D rationale

Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .

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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

While working in the emergency department, the unit secretary says, “We just got a call that someone with a severe peanut allergy accidentally ate peanuts and is on the way.”. Which emergency equipment would the nurse gather to prepare for the client’s arrival? Select all that apply.

Correct Answer is ["A","B"]

Explanation

What is the purpose of administering diphenhydramine before a blood transfusion?

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?