The client is diagnosed with Lyme disease. He states that he is not a hiker and does not remember being bitten by a tick. As part of the education plan, the nurse should state:
A) "You must have been bitten by a tick and didn't recognize it as such."
B) "Did you spend time in a brushy or grassy area in the last 90 days?"
C) "Conduct a full-body tick check once a week during the summer."
D) "A history of a tick bite is not required."
Ans: D
Feedback:
Exposure to Lyme disease is defined as having spent time (less than or equal to 30 days before onset of the initial skin lesion) in wooded, brushy, or grassy areas (i.e., potential tick habitats) in a county in which Lyme disease is endemic. A history of tick bite is not required. A county in which the disease is endemic is one in which at least two confirmed cases have been previously acquired or in which established populations of a known tick vector are infected with Borrelia burgdorferi. Those who are outdoors should do a final, full-body tick check at the end of the day (not once a week) for adults, children, and pets.
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