A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease.
The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?

Headaches and blurred vision.

Tremors and weakness.

Rash symptoms.

Painful joints.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Headaches and blurred vision are not specific to stage I Lyme disease. These symptoms can occur in many other conditions and are not the primary indicators of early Lyme disease.

Choice B rationale

Tremors and weakness are not typical early signs of Lyme disease. These symptoms are more associated with neurological involvement, which occurs in later stages of the disease.

Choice C rationale

Rash symptoms, specifically erythema migrans (a bull’s-eye rash), are the hallmark of stage I Lyme disease. This rash appears at the site of the tick bite and is a key diagnostic feature.

Choice D rationale

Painful joints are more commonly seen in later stages of Lyme disease when the infection has spread and caused more systemic involvement.

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Correct Answer is C

Explanation

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

A. “If your child gets water in her ears it will not cause problems.”. B. “The tubes will need to be removed every night before bed.”. C. “The doctor will replace the tubes every 2 years.”. D. “The tubes will fall out on their own, usually.”. . .

Correct Answer is D

Explanation

Choice A rationale

This statement is incorrect. While the tubes are designed to allow air to enter the middle ear and prevent fluid buildup, water can still enter through the tubes and potentially cause infections or other complications. Therefore, it is important to take precautions to keep water out of the ears, especially during activities like swimming or bathing.

Choice B rationale

This statement is incorrect. Tympanostomy tubes are not designed to be removed every night. They are small tubes inserted into the eardrum to allow air to enter the middle ear and prevent fluid buildup. They remain in place until they naturally fall out on their own, which typically happens within 6 to 12 months.

Choice C rationale

This statement is incorrect. The tubes do not need to be replaced every 2 years. Tympanostomy tubes usually fall out on their own within 6 to 12 months. If they do not fall out naturally, a healthcare provider may need to remove them. However, routine replacement every 2 years is not necessary.

Choice D rationale

This statement is correct. Tympanostomy tubes are designed to fall out on their own, usually within 6 to 12 months after insertion. This natural process allows the eardrum to heal without the need for additional surgical intervention.

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A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease. The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?

Correct Answer is C

Explanation

A nurse is providing teaching to the parent of a child undergoing tympanostomy tube insertion. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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A client calls the health care clinic and asks the nurse to describe the first signs of Lyme disease.
The nurse informs the client to watch for which signs/symptoms of stage I Lyme disease?