A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?
Remove embedded ticks by squeezing the body with tweezers.
If bitten by a tick, testing for Lyme disease should occur within 2 weeks.
Symptoms of Lyme disease appear 2 days after being bitten by an infected tick.
Use a product with DEET on your skin and clothes when you are walking in a wooded area.
The Correct Answer is D
Choice A reason: Squeezing a tick’s body during removal can release infectious material, increasing Lyme disease risk. Proper removal uses fine-tipped tweezers to grasp the head, pulling steadily, so this statement is incorrect and harmful for Lyme prevention education.
Choice B reason: Testing for Lyme disease within 2 weeks of a tick bite is premature, as antibodies take 2-6 weeks to develop for reliable serologic testing. Early testing yields false negatives, so this statement is inaccurate for Lyme disease diagnostic guidance.
Choice C reason: Lyme disease symptoms, like rash or fever, typically appear 3-30 days after a tick bite, not 2 days. This statement underestimates the incubation period, misleading the public about when to monitor for symptoms, making it incorrect.
Choice D reason: Using DEET repels ticks, reducing bite risk in wooded areas where Lyme disease-carrying ticks are prevalent. This preventive measure is CDC-recommended, effective, and practical, making it the correct statement for a Lyme disease education program.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The retainer clip should be at chest level, not the upper abdomen, to secure the harness and prevent injury. An abdominal position risks strap slippage, reducing safety, so this statement reflects incorrect car seat safety understanding.
Choice B reason: Car seats should remain rear-facing until at least age 2, not 1, per AAP guidelines, to protect the neck and spine. Turning forward-facing too early increases injury risk, making this statement incorrect for safe car seat use.
Choice C reason: Shoulder harness straps should be at or below the shoulders in rear-facing seats, not 3 inches above, to ensure proper restraint. This positioning risks poor fit, so the statement indicates a misunderstanding of car seat safety.
Choice D reason: Positioning the newborn at a 45-degree angle in a rear-facing car seat ensures airway patency and spinal alignment, per safety guidelines. This statement correctly reflects proper car seat installation, indicating accurate understanding of newborn car seat safety.
Correct Answer is D
Explanation
Choice A reason: Pouring cool water over the perineum may cause discomfort or infection risk and is not a standard method to stimulate urination. It does not address psychological or reflex triggers for voiding, making it ineffective for bedpan urination difficulties.
Choice B reason: Stroking the lower abdomen may stimulate bladder contraction but is less effective than auditory cues for triggering the voiding reflex. It is not a primary intervention for bedpan urination issues, making it less appropriate than running water.
Choice C reason: Leaning slightly backward may increase intra-abdominal pressure, hindering bladder emptying. A forward-leaning or upright position is preferred to facilitate urination, so this instruction is counterproductive for helping the client urinate into a bedpan.
Choice D reason: Turning on faucets creates running water sounds, stimulating the voiding reflex via auditory cues, a proven method to aid urination in bedbound clients. This non-invasive approach addresses psychological barriers, making it the correct action for bedpan difficulties.
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