Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

Avoid the use of insect repellent on the skin and clothing because of its toxicity.

Avoid heavily wooded areas and areas with thick underbrush.

Wear dark clothing when walking in wooded areas.

Wear long-sleeved tops and long pants with closed shoes.

If a tick is found, report to the primary health care provider immediately for a blood test to detect the presence of Lyme disease.

Bathe after being in an infested area and inspect the body carefully for ticks.

Answer and Explanation

Correct Answer : B,D,F

Choice A rationale

Avoiding the use of insect repellent on the skin and clothing is not recommended. Insect repellents containing DEET are effective in preventing tick bites, which can transmit Lyme disease. The toxicity of DEET is minimal when used as directed.

Choice B rationale

Avoiding heavily wooded areas and areas with thick underbrush is recommended to reduce the risk of tick exposure. Ticks that carry Lyme disease are commonly found in these environments.

Choice C rationale

Wearing dark clothing is not recommended as it makes it harder to spot ticks. Light-colored clothing is preferable as it allows for easier detection of ticks.

Choice D rationale

Wearing long-sleeved tops and long pants with closed shoes is recommended to minimize skin exposure and reduce the risk of tick bites.

Choice E rationale

Reporting to the primary health care provider immediately for a blood test if a tick is found is not necessary. The presence of a tick does not immediately indicate Lyme disease. Instead, the tick should be removed promptly, and the area should be monitored for signs of infection.

Choice F rationale

Bathing after being in an infested area and inspecting the body carefully for ticks is recommended. This helps in early detection and removal of ticks, reducing the risk of Lyme disease.

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Correct Answer is A

Explanation

Choice A rationale

Systemic lupus erythematosus (SLE) is an autoimmune disease that primarily affects connective tissue. The immune system mistakenly attacks healthy tissue, leading to inflammation and damage.

Choice B rationale

SLE does not originate in the peripheral vascular system, although it can cause complications in blood vessels.

Choice C rationale

While the lymphatic system is involved in immune responses, SLE primarily targets connective tissue.

Choice D rationale

SLE does not originate in skeletal tissue, though it can cause joint pain and arthritis.

A. Allow the client to ambulate. B. Remove the eye patch during the day. C. Encourage coughing and deep-breathing. D. Avoid reading and writing.

Correct Answer is D

Explanation

Choice A rationale

Allowing the client to ambulate one day after a detached retinal repair is not recommended. Ambulation can increase intraocular pressure and disrupt the healing process of the retina. The client should be advised to limit physical activity to prevent any strain on the eye.

Choice B rationale

Removing the eye patch during the day is not advisable as it can expose the eye to potential injury or infection. The eye patch helps protect the eye and maintain the correct position for healing. It should be worn as directed by the healthcare provider.

Choice C rationale

Encouraging coughing and deep-breathing exercises is not appropriate for a client who has undergone retinal repair. These activities can increase intraocular pressure and risk detachment of the retina. The client should avoid activities that cause strain or pressure on the eyes.

Choice D rationale

Avoiding reading and writing is crucial for a client one day postoperative following a detached retinal repair. These activities can cause rapid eye movements and strain, which can interfere with the healing process and reattachment of the retina. The client should be advised to rest their eyes and avoid any activities that require intense focus or eye movement.

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Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?

Correct Answer is A

Explanation

A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is providing education for a client with glaucoma. Which of the following statements should the nurse include in the teaching?

A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?

A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

A nurse is providing teaching to a client who has a new diagnosis of Ménière’s disease. Which of the following instructions should the nurse include in the teaching?

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