A nurse is teaching a community parent group about signs and symptoms of Lyme disease. Which statements does the nurse include? (Select all that apply.)
A.
Bull's-eye rash is seen in the early stage of the disease.
B.
Fatigue and headache frequently occur in the early stage.
C.
Inability to bear weight is often seen in the late disease phase.
D.
Lyme disease manifests 3-30 days after a tick bite.
E.
Signs of meningitis are seen in the early disseminated phase.
ANS: A, B, D, E
The early localized stage includes a rash (often classified as a bull's-eye rash) and vague systemic symptoms such as fatigue, headache, arthralgia, neck pain, fever, and myalgia. In the early disseminated phase, the rash expands; fatigue, headache, and arthralgia become more common; and the child may develop cranial nerve palsy, meningitis, and carditis. In the late disease phase, arthritis occurs that migrates from joint to joint, making walking uncomfortable, but the child is still able to bear weight.
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