A nurse is providing discharge teaching to a client who has GERD.
Which of the following information should the nurse include?

Choice A rationale

Ticks should not be removed by squeezing the body with tweezers, as this can cause the tick to regurgitate its stomach contents into the bloodstream, increasing the risk of infection transmission. The proper technique involves using fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pulling upward with steady pressure.

Choice B rationale

Testing for Lyme disease is not recommended immediately after a tick bite because the antibodies may not be detectable yet. The incubation period for the bacteria is several weeks. It is recommended to watch for symptoms and seek testing only if the characteristic bull's-eye rash or other symptoms develop, which typically occurs 3 to 30 days post-bite.

Choice C rationale

Using a product with DEET (N,N-diethyl-meta-toluamide) is a highly effective measure for preventing tick bites. DEET acts as a repellent that deters ticks and other insects from landing on the skin or clothing. It is a proven preventative strategy that significantly reduces the risk of contracting Lyme disease when walking in wooded or grassy areas.

Choice D rationale

Symptoms of Lyme disease, such as the characteristic erythema migrans (bull's-eye rash), typically appear within 3 to 30 days after being bitten by an infected tick. They do not appear within 2 days. The incubation period is a crucial factor in monitoring for the disease and seeking timely medical care if symptoms arise. .

Choice A rationale

Crusting along the incision line is the result of dried serous fluid and blood, which is a normal part of the wound healing process during the inflammatory phase. This finding alone is not indicative of a surgical site infection, which is characterized by other signs.

Choice B rationale

A temperature of $37.2^\circ C$ ($99^\circ F$) is within the normal range for body temperature ($36.1^\circ C$ to $37.2^\circ C$ or $97^\circ F$ to $99^\circ F$). An elevated temperature, specifically a fever, is a systemic sign of infection. A low-grade fever might be a subtle sign, but this temperature is not high enough.

Choice C rationale

Pink coloration of the incision line is a normal finding in the early stages of wound healing, representing angiogenesis, the formation of new blood vessels. This process is crucial for tissue repair and does not indicate a surgical site infection, which is typically characterized by erythema and warmth.

Choice D rationale

Swelling, or edema, is a classic sign of inflammation and infection. While some minor swelling is normal, swelling that extends significantly beyond the wound margins, such as 3.8 cm (1.5 in), indicates a heightened inflammatory response potentially due to bacterial proliferation and infection. *.