The nurse assessing a client who has been diagnosed with Lyme disease in its early stage recognizes the following symptoms as classically seen in that stage: Select all that apply
1. "Bull's eye" rash
2. Stiff neck
3. Forgetfulness
4. Severe headache
5. Painful urination
1. "Bull's eye" rash
2. Stiff neck
3. Forgetfulness
Rationale: "Bull's eye" rash. Assessment of the early localized disease, the first stage, which occurs between days 7 and 10, includes evaluating for a growing rash called erythema chronicum migrans (ECM). ECM looks like a bull's eye on the affected part. Stiff neck. The early localized disease symptoms include stiff neck. Forgetfulness. The early localized disease symptoms include forgetfulness. Severe headache. The early localized disease symptoms include headache. Painful urination. Painful urination is not symptom of any stage of Lyme's disease.
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