A child comes to the clinic with a complaint of a rash after a tick bite. Lyme disease is suspected. Which assessment finding would be seen with Lyme disease?
An erythematous rash surrounding a necrotic lesion.
A bright rash with a red outer border circling the bite site.
A diffuse rash over the entire body two months after exposure.
A linear rash of papules and vesicles that occur 1-3 days after exposure.
The Correct Answer is B
Rationale:
A. A necrotic lesion is not typical of Lyme disease; this may indicate another type of infection, like spider bite or cellulitis.
B. Lyme disease often presents with erythema migrans, a target-like or bull's-eye rash with central clearing and a red outer border around the tick bite.
C. A diffuse rash two months after exposure is not a common presentation of Lyme disease. Later symptoms include joint pain, neurological issues, or cardiac signs.
D. A linear rash of papules and vesicles that appears within 1–3 days is more typical of contact dermatitis, such as poison ivy, not Lyme disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. In diabetic ketoacidosis (DKA), insulin deficiency prevents the body from using glucose for energy, so it breaks down fat instead. This fat breakdown produces ketones, which accumulate and cause the blood to become acidic. Thus, the statement correctly explains the metabolic process leading to ketoacidosis.
B. In diabetic ketoacidosis (DKA), insulin deficiency prevents the body from using glucose for energy, so it breaks down fat instead. This fat breakdown produces ketones, which accumulate and cause the blood to become acidic. Thus, the statement correctly explains the metabolic process leading to ketoacidosis.
Correct Answer is B
Explanation
Rationale:
A. A necrotic lesion is not typical of Lyme disease; this may indicate another type of infection, like spider bite or cellulitis.
B. Lyme disease often presents with erythema migrans, a target-like or bull's-eye rash with central clearing and a red outer border around the tick bite.
C. A diffuse rash two months after exposure is not a common presentation of Lyme disease. Later symptoms include joint pain, neurological issues, or cardiac signs.
D. A linear rash of papules and vesicles that appears within 1–3 days is more typical of contact dermatitis, such as poison ivy, not Lyme disease.
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