The nurse is interviewing a client with suspected Lyme disease. Which of the following questions would be a priority in this situation?
1. "When was your last seizure?"
2. "Have you been hiking or camping lately?"
3. "What has your temperature been running?"
4. "Do you have an appetite?"
2
Rationale 1: Lyme disease is an infection caused by a spirochete transmitted by a bite from an infected tick that lives on deer. This tick exposure may have come from hiking or camping. Lyme disease if not treated may result in neurological disorders. There is not, however, any indication that the client has long-term Lyme disease or neurological changes.
Rationale 2: Lyme disease is an infection caused by a spirochete transmitted by a bite from an infected tick that lives on deer. This tick exposure may have come from hiking or camping.
Rationale 3: Lyme disease is an infection caused by a spirochete transmitted by a bite from an infected tick that lives on deer. This tick exposure may have come from hiking or camping. During the initial period after becoming infected the client may experience flu-like illnesses but there is no indication that this is the primary concern for the client.
Rationale 4: Lyme disease is an infection caused by a spirochete transmitted by a bite from an infected tick that lives on deer. This tick exposure may have come from hiking or camping. An infectious process may result in changes in the client's appetite or dietary but this is not the priority area of concern for investigation.
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