Author Question: The client is diagnosed with Lyme disease. He states that he is not a hiker and does not remember ... (Read 78 times)

geodog55 · **on:** Jul 8, 2018

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.

Question 2

Ten documented cases of West Nile virus (WNV) have occurred recently in the community. To reduce the transmission of the virus, the nurse should educate the members of the community to: (Select all that apply.)

A) Avoid contact with birds
B) Avoid contact with mosquitoes
C) Avoid those with a confirmed diagnosis
D) Eliminate standing water
E) Avoid exposure to the environment during the daylight hours

meganlapinski · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

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.

Answer to Question 2

Ans: B, D
Feedback:
WNV virus is not transmitted from person to person but from mosquito to person. No isolation precautions are indicated other than standard precautions. The Centers for Disease Control and Prevention (CDC) guidelines emphasize avian, animal, mosquito, and human WNV surveillance, along with control and elimination of mosquito breeding sites such as standing water in flowerpots, buckets, and old tires. The CDC recommends using an insect repellent such as DEET (N, N-diethyl-m-toluamide) or picaridin when outdoors, following the directions on the package. Because mosquitoes are most active at dusk and dawn, in addition to an insect repellent, people should wear long sleeves and pants when outdoors during these hours. Screens on windows and doors will keep mosquitoes out.