Author Question: A client seen in the clinic expresses concern that she might have Lyme disease. The nurse explains ... (Read 93 times)

charchew · **on:** Jun 25, 2018

A client seen in the clinic expresses concern that she might have Lyme disease. The nurse explains that some common symptoms in the early stage include:

1. severe swelling at tick bite mark within 24 hours.
2. slight temperature and nausea.
3. progressive confusion and disorientation.
4. erythema, headache, fever, and chills.

Question 2

A client with RA says to the nurse: I thought I had OA. How is this different? The nurse explains that RA differs from OA in that RA:

1. is slower to progress than is OA.
2. affects only one joint at a time.
3. does not cause fever or malaise.
4. has an abrupt onset of red, swollen joints.

katieost · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 4

1. Erythema migrans, a flat or slightly raised red lesion, is the initial manifestation seen at the site of the tick bite.
2. Temperature and nausea are not manifestations of Lyme disease.
3. Confusion and disorientation are not manifestations of Lyme disease.
4. Erythema migrans, a flat or slightly raised red lesion, is the initial manifestation seen at the site of the tick bite. Client also might experience headache, fever, muscle aches, and fatigue.

Answer to Question 2

Answer: 4

1. Osteoarthritis can be more gradual and insidious.
2. RA affects multiple joints.
3. RA causes fever, weight loss, fatigue, and anemia.
4. RA has an abrupt onset, progresses more rapidly and affects multiple joints, causing fever, weight loss, fatigue, and anemia.