After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother makes what statement?

"I should put the tick in a plastic bag in the freezer."

"I need to grasp the tick close to the child's skin."

"I'll protect my fingers with a paper towel."

"I'll grasp the tick and pull it away quickly."

Answer and Explanation

The Correct Answer is A

A. Placing a tick in a freezer is not recommended; if the tick needs to be saved for identification, it should be placed in a sealed container with rubbing alcohol to kill it. Freezing may not preserve it properly for identification.
B. Grasping the tick close to the skin is correct because it reduces the risk of leaving mouthparts embedded and decreases disease transmission.
C. Using a paper towel or gloves to protect fingers is appropriate to avoid direct contact with potentially infectious fluids from the tick.
D. Pulling the tick straight out with steady, even pressure is correct technique to minimize skin trauma and reduce the risk of infection.

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Correct Answer is C

Explanation

A. Wearing a mask helps prevent the spread of rubella, which is transmitted via respiratory droplets.
B. Acetaminophen or ibuprofen can be used to manage fever and discomfort associated with rubella.
C. Rubella is a viral infection, so antibiotics are not effective and are not indicated for treatment. This statement reflects a misunderstanding, indicating a need for further education.
D. The child is contagious from about 7 days before to 7 days after the onset of the rash, so this statement is accurate.

A. Confusion and anxiety B. Swelling in the neck C. Hypersalivation D. Ring-like rash on lower leg

Correct Answer is C

Explanation

A. Neurological symptoms such as confusion may occur in later stages of Lyme disease if the infection affects the central nervous system, but they are not expected in the early localized stage following a tick bite.

B. Excessive salivation is not associated with Lyme disease. This symptom is more characteristic of other conditions affecting the cranial nerves or oral cavity, such as rabies.

C. The hallmark early manifestation of Lyme disease is erythema migrans, a red, expanding, ring-shaped rash that often develops at the site of the tick bite within 3–30 days. It may appear on the lower extremities and sometimes has a central clearing, giving it a “bull’s-eye” appearance.

D. Cervical lymphadenopathy is not a common early sign of Lyme disease. Swelling may occur near the bite site, but generalized neck swelling is not typical.

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After teaching a mother how to remove a tick from her 6-year-old boy's arm, the nurse determines that additional teaching is needed when the mother makes what statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed?

Correct Answer is C

Explanation

The nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Correct Answer is C

Explanation

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