A child is admitted with a diagnosis of early localized Lyme disease. Which clinical manifestations would the nurse expect to find on the initial assessment of this client?
1. Erythema 5–15 cm in diameter
2. Hyperactivity
3. Cranial nerve palsies
4. Fever
5. Headache
Correct Answer: 1,4,5
Rationale: Erythema, fever, and headache are signs/symptoms in the early localized stage of Lyme disease. Cranial nerve palsies are seen in the early disseminated stage of the disease. Malaise, rather than hyperactivity, is seen with this disease.
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