A four year old child is seen in the emergency department for multiple tick bites over the abdomen and lower extremities. The child is most at risk for developing which communicable disease?

1. Plague.
2. Malaria.
3. Rocky Mountain spotted fever.
4. Rabies.


Answer: 3
Explanation: 3. All of the diseases listed are transmitted by insect or animal bites, but Rocky Mountain spotted fever is transmitted by the bite of infected ticks. Plague can be transmitted by fleas on infected rodents. Malaria is transmitted by the Anopheles mosquito. Rabies is usually transmitted by a nonimmunized pet or by a bat.

Nursing

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A patient has a pressure ulcer that is covered with black and brown eschar. The nurse would document the stage of this wound as being:

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