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 B

Explanation

Choice A rationale

Administering an IM injection does not typically require a gown as personal protective equipment unless there is a risk of exposure to blood or body fluids.

Choice B rationale

Completing a dressing change requires a gown to protect against potential exposure to blood or body fluids.

Choice C rationale

Administering an intermittent IV bolus medication does not typically require a gown unless there is a risk of exposure to blood or body fluids.

Choice D rationale

Talking to the client at the bedside does not require a gown as there is no risk of exposure to blood or body fluids.

A. Administer the medications 5 minutes apart. B. Administer the medications by touching the tip of the dropper to the sclera of the eye. C. Hold pressure on the conjunctival sac for 2 minutes following application of drops. D. It is not necessary to remove contact lenses before administering medications.

Correct Answer is A

Explanation

Choice A rationale

Administering the medications 5 minutes apart ensures that each medication has enough time to be absorbed without interference from the other. This practice helps to maximize the effectiveness of both medications and reduces the risk of adverse interactions.

Choice B rationale

Touching the tip of the dropper to the sclera of the eye can introduce contaminants and increase the risk of infection. It is important to avoid contact between the dropper and the eye to maintain sterility.

Choice C rationale

Holding pressure on the conjunctival sac for 2 minutes is not necessary for the administration of timolol and pilocarpine eye drops. This practice is more commonly recommended for other types of eye medications to increase absorption.

Choice D rationale

Contact lenses should be removed before administering eye drops to prevent contamination and ensure proper absorption of the medication. Wearing contact lenses during administration can interfere with the effectiveness of the drops.

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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 is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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