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 B
Explanation
Choice A reason: An increase in diastolic blood pressure by 10 mm Hg does not indicate orthostatic hypotension, which is defined by a drop in blood pressure upon positional change. This finding may suggest other cardiovascular issues but is not diagnostic of orthostatic changes.
Choice B reason: A systolic blood pressure decrease of 25 mm Hg upon sitting indicates orthostatic hypotension, as it reflects inadequate compensatory vasoconstriction, common with antihypertensives. This drop can cause dizziness or syncope, requiring intervention to prevent falls, making it the correct finding.
Choice C reason: Heart palpitations are subjective and non-specific, not a defining criterion for orthostatic hypotension, which relies on blood pressure changes. Palpitations may occur in various conditions but do not confirm orthostatic changes, making this an incorrect indicator.
Choice D reason: A heart rate increase of 10/min is a compensatory response but insufficient alone to diagnose orthostatic hypotension, which requires a blood pressure drop (e.g., 20 mm Hg systolic). This finding is non-specific without pressure changes, making it incorrect.
Correct Answer is D
Explanation
Choice A reason: Seeing dark spots post-cataract surgery is not expected; it may indicate complications like retinal detachment. The procedure replaces the cloudy lens to improve vision, so this statement reflects misunderstanding, making it incorrect for procedural understanding.
Choice B reason: Cataract surgery typically uses local or regional anesthesia, not general anesthesia, which carries higher risks. This statement indicates a misunderstanding of the standard anesthetic approach, making it incorrect for demonstrating accurate knowledge of the procedure.
Choice C reason: Eyelid bruising is not a common outcome of cataract surgery, which involves minimal external trauma. Swelling or redness may occur, but bruising suggests complications, so this statement reflects incorrect expectations of the procedure’s effects.
Choice D reason: Cataract surgery involves replacing the clouded lens with an intraocular lens to restore vision, a core component of the procedure. This statement accurately reflects the client’s understanding of the surgical process, making it the correct choice.
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