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

Shutting off the intravenous infusion is the immediate action to take when a client reports difficulty swallowing during infliximab infusion. This could indicate an infusion reaction or anaphylaxis, which requires immediate cessation of the infusion to prevent further complications.

Choice B rationale

Notifying the primary health care provider is important, but the immediate action should be to stop the infusion to prevent further adverse reactions.

Choice C rationale

Having the client take deep breaths and try to relax is not appropriate in this situation, as it does not address the potential infusion reaction or anaphylaxis.

Choice D rationale

Obtaining a prescription for oral diphenhydramine may be part of the treatment for an infusion reaction, but the immediate action should be to stop the infusion. .

A. Auscultate for wheezing. B. Assess the client’s level of consciousness. C. Administer epinephrine. D. Monitor for hypotension.

Correct Answer is C

Explanation

Choice A rationale

Auscultating for wheezing is important but not the first action. The priority is to administer epinephrine to counteract the severe allergic reaction.

Choice B rationale

Assessing the client’s level of consciousness is important but not the first action. Administering epinephrine takes precedence to stabilize the client’s condition.

Choice C rationale

Administering epinephrine is the first action. It is crucial to counteract the severe allergic reaction and prevent further complications.

Choice D rationale

Monitoring for hypotension is important but not the first action. Administering epinephrine is the priority to stabilize the client’s condition.

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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 client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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