Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

Avoid the use of insect repellent on the skin and clothing because of its toxicity.

Avoid heavily wooded areas and areas with thick underbrush.

Wear dark clothing when walking in wooded areas.

Wear long-sleeved tops and long pants with closed shoes.

If a tick is found, report to the primary health care provider immediately for a blood test to detect the presence of Lyme disease.

Bathe after being in an infested area and inspect the body carefully for ticks.

Answer and Explanation

Correct Answer : B,D,F

Choice A rationale

Avoiding the use of insect repellent on the skin and clothing is not recommended. Insect repellents containing DEET are effective in preventing tick bites, which can transmit Lyme disease. The toxicity of DEET is minimal when used as directed.

Choice B rationale

Avoiding heavily wooded areas and areas with thick underbrush is recommended to reduce the risk of tick exposure. Ticks that carry Lyme disease are commonly found in these environments.

Choice C rationale

Wearing dark clothing is not recommended as it makes it harder to spot ticks. Light-colored clothing is preferable as it allows for easier detection of ticks.

Choice D rationale

Wearing long-sleeved tops and long pants with closed shoes is recommended to minimize skin exposure and reduce the risk of tick bites.

Choice E rationale

Reporting to the primary health care provider immediately for a blood test if a tick is found is not necessary. The presence of a tick does not immediately indicate Lyme disease. Instead, the tick should be removed promptly, and the area should be monitored for signs of infection.

Choice F rationale

Bathing after being in an infested area and inspecting the body carefully for ticks is recommended. This helps in early detection and removal of ticks, reducing the risk of Lyme disease.

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Correct Answer is A

Explanation

Choice A rationale

Administering the medications 5 minutes apart ensures that each medication has enough time to be absorbed without interference from the other. This practice helps to maximize the effectiveness of both medications and reduces the risk of adverse interactions.

Choice B rationale

Touching the tip of the dropper to the sclera of the eye can introduce contaminants and increase the risk of infection. It is important to avoid contact between the dropper and the eye to maintain sterility.

Choice C rationale

Holding pressure on the conjunctival sac for 2 minutes is not necessary for the administration of timolol and pilocarpine eye drops. This practice is more commonly recommended for other types of eye medications to increase absorption.

Choice D rationale

Contact lenses should be removed before administering eye drops to prevent contamination and ensure proper absorption of the medication. Wearing contact lenses during administration can interfere with the effectiveness of the drops.

A. “My eye really itches, but I’m trying not to rub it.”. B. “The bright light in this room is really bothering me.”. C. “I’m afraid of falling.”. D. “I need something for the pain in my eye. I can’t stand it.”.

Correct Answer is D

Explanation

Choice A rationale

Itching is a common symptom after cataract surgery, and the client should be reminded not to rub or place pressure on the eyes. This comment does not indicate a serious complication.

Choice B rationale

Sensitivity to bright light is also common after cataract surgery. The client can be advised to wear sunglasses to reduce discomfort. This comment does not indicate a serious complication.

Choice C rationale

Fear of falling is a valid concern, especially if the client has impaired vision or depth perception due to the eye patch. However, this comment does not indicate a serious complication that needs immediate reporting.

Choice D rationale

Severe pain in the eye after cataract surgery can indicate a complication such as increased intraocular pressure, infection, or hemorrhage. This comment should be reported to the provider immediately for further evaluation and intervention.

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Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?

Correct Answer is A

Explanation

A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?

Correct Answer is D

Explanation

Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?

A nurse is planning care for a client 1 day postoperative following a detached retinal repair. Which of the following instructions should the nurse include?

A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

A nurse in an emergency department is caring for a client who is suspected to have anaphylaxis following a bee sting. Which of the following actions should the nurse take first?

Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.

A doctor ordered amoxicillin 2 gm/day PO divided into two doses. The nurse is preparing to administer the first dose. The amount available is tablets. Use a leading zero if it applies. Do not use a trailing zero.

A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. Which nursing action is appropriate?

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)