The nurse notices a circular lesion with a red border and clear ...

[clmills979]

The nurse notices a circular lesion with a red border and clear center on the arm of an 18-year-old summer camp counselor who is in the camp clinic complaining of chills and muscle aches. Which action should the nurse take next?
 
  a. Palpate the abdomen.
  b. Auscultate the heart sounds.
  c. Ask the patient about recent outdoor activities.
  d. Question the patient about immunization history.

Question 2

A 37-year-old patient with 2 school-age children who has recently been diagnosed with rheumatoid arthritis (RA) tells the nurse that home life is very stressful. Which response by the nurse is most appropriate?
 
  a. Tell me more about situations that are causing you stress.
  b. You need to see a family therapist for some help with stress.
  c. Your family should understand the impact of your rheumatoid arthritis.
  d. Perhaps it would be helpful for your family to be involved in a support group.

[Anton]

Answer to Question 1

ANS: C
The patient's clinical manifestations suggest possible Lyme disease. A history of recent outdoor activities such as hikes will help confirm the diagnosis. The patient's symptoms do not suggest cardiac or abdominal problems or lack of immunization.

Answer to Question 2

ANS: A
The initial action by the nurse should be further assessment. The other three responses might be appropriate based on the information the nurse obtains with further assessment.