The nurse should understand that Lyme disease is:

a. Difficult to prevent.
b. Easily treated with oral antibiotics in stages 1, 2, and 3.
c. Caused by a spirochete that enters the skin through a tick bite.
d. Common in geographic areas where the soil contains the mycotic spores that cause the disease.


ANS: C
Lyme disease is caused by Borrelia burgdorferi, a spirochete spread by ticks. The early characteristic rash is erythema migrans. Tick bites should be avoided by entering tick-infested areas with caution. Light-colored clothing should be worn to identify ticks easily. Long-sleeve shirts and long pants tucked into socks should be the attire. Early treatment of the erythema migrans (stage 1) can prevent the development of Lyme disease. It is caused by a spirochete, not mycotic spore.

Nursing

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Which intervention would have the most therapeutic value for a patient who has just awakened after an ECT (electroconvulsive therapy) treatment and appears disoriented?

a. The nurse brings a family member into the recovery room to stay and talk with the patient until the patient is fully awake. b. The nurse touches the patient's hand and in a calming voice assures the patient, "Everything is fine; the treatment is over.". c. The nurse tells the patient that the treatment is over and shares, "You'll be a little confused but for only a very short time.". d. The nurse addresses the patient by name and states, "I'm your nurse here at the hospital. Your treatment is over and you're doing fine.".

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The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

a. Falls asleep during daily activities b. Presents with a pruritic rash c. Develops restlessness d. Experiences alertness

Nursing

According to ACOG, in a patient without complications, the FHR tracing during the second stage of labor should be reviewed approximately every

A. 5 min B. 15 min C. 30 min

Nursing