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Comprehensive 1
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1. 1.ID: 310949498
A male client who lives in an area endemic with Lyme disease asks the nurse what to do if he thinks he may have been exposed. Which response should the nurse provide?
A. Cover the ticks with oil to suffocate and kill them to prevent transmission.
B. Look for early signs of a lesion that increases in size with a red border, clear center. Correct
C. See a healthcare provider if nausea, vomiting, and joint pain occur after a tick bite.
D. Obtain early treatment with antiviral agents to prevent cardiac manifestations.
The client should look for the early signs of localized Lyme disease known as erythema migrans, a skin lesion that slowly expands to form a large round lesion with a bright red border and clear center (B) at the site of the tick bite. A tick should be removed with tweezers by pulling straight from its insertion away from the skin, and not compressing its body or covering it with oil (A). Lyme disease is caused by the spirochete, Borrelia burgdorferi, which is transmitted by the bite of an infected deer tick, and antiviral agents (D) are ineffective. Symptoms, such as fever, chills, headache, stiff neck, fatigue, and swollen lymph nodes are more typical, not nausea and vomiting (C). Category: Community Health
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 310982379
The nurse is planning a wellness program aimed at primary prevention in the community. Which action should the nurse implement?
A. Immunizations that decrease occurrences of many contagious diseases. Correct
B. Blood pressure screenings to identify persons with high blood pressure.
C. Breast self-examination (BSE) for young women instead of a mammogram.
D. Home care monitoring for clients who are high-risk due to pregnancy.
Primary prevention involves health promotion and disease prevention activities to decrease the occurrence of illness and enhance general health and quality of life, such as immunization (A). Health screenings (B and C)

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