The school nurse removes a tick embedded in a student's scalp by the hairline. Which follow-up instruction is the nurse sure to provide to the mother?
a. "Call your pediatrician right away if a fever or a red rash develops at the bite."
b. "If your child does not have symptoms within 2 weeks, you can relax."
c. "Call your pediatrician tomorrow to get antibiotics to prevent Lyme disease."
d. "Keep the site clean, but you don't have to worry about further problems."
A
The mother should be instructed to monitor for early symptoms of Lyme disease (fever, rash at the site, other flulike symptoms) following a tick bite. Symptoms can appear for up to 30 days after the bite. Antibiotics are not prescribed as a preventive measure. Because Lyme disease can cause serious complications, the mother needs to monitor the child's condition carefully.
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