A patient has been admitted for treatment of early-stage Lyme disease
The nurse would assess for which findings usually associated with this stage of the illness? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Stiff neck
2. Forgetfulness
3. "Bull's-eye" rash
4. Painful urination
5. Poor motor balance
1,2,3
Rationale 1: The first stage of Lyme disease includes flulike symptoms, including a stiff neck.
Rationale 2: The early localized symptoms include forgetfulness.
Rationale 3: Assessment of the early localized disease, the first stage, includes evaluating for a growing rash called erythema chronicum migrans (ECM). ECM looks like a bull's eye on the affected part.
Rationale 4: Painful urination is not a symptom of any stage of Lyme disease.
Rationale 5: Poor motor balance is associated with the second stage of Lyme disease and occurs a couple of weeks to months after infection.
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A 55-year-old postmenopausal woman is being seen in the clinic for her annual examination. She is concerned about changes in her breasts that she has noticed over the past 5 years
She states that her breasts have decreased in size and that the elasticity has changed so that her breasts seem "flat and flabby." The nurse's best reply would be: a. "This change occurs most often because of long-term use of bras that do not provide enough support to the breast tissues." b. "This is a normal change that occurs as women get older and is due to the increased levels of progesterone during the aging process." c. "Decreases in hormones after menopause causes atrophy of the glandular tissue in the breast and is a normal process of aging." d. "Postural changes in the spine make it appear that your breasts have changed in shape. Exercises to strengthen the muscles of the upper back and chest wall will help prevent the changes in elasticity and size."
What is an example of a description of community health nursing?
a. Visiting patients in their homes after hos-pital discharge to assess their personal health status b. Asking a nursing assistant (NA) to identi-fy the health services most needed in the patient's personal life c. Meeting with residents of low-income housing to identify their health care needs d. Developing a hospital-based home health care service
Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?
a. Patient will inject insulin twice daily. b. Patient will keep appointments with physician over the next 6 months. c. Patient's A1c will be 5% at 1 year postdiagnosis. d. Patient's recorded blood glucose will be between 60 and 120 mg/dL each day.
At the conclusion of teaching parents about cerebral palsy, the nurse asks, "What is your hope for your toddler with cerebral palsy?" Which reply from a parent best indicates an understanding of a realistic achievement for the child?
1. "I hope my child qualifies for the Winter Olympics like I did." 2. "I hope my child just enjoys life." 3. "I hope my child will attend our neighborhood school." 4. "I hope my child is liked and accepted by other children."