Author Question: A child who was visiting a wooded area on vacation presents to the doctor's office with a localized ... (Read 29 times)

pragya sharda · **on:** Jun 28, 2018

A child who was visiting a wooded area on vacation presents to the doctor's office with a localized bull's-eye rash. Which action by the nurse is the most appropriate?

A.
Advise parents that treatment depends on laboratory results.
B.
Assess for cardiac and neurological involvement.
C.
Facilitate admission to a nearby hospital.
D.
Teach the parents about cefuroxime (Ceftin).

Question 2

The pediatric nurse knows that which child is most likely to bite another?

A.
Adolescent, due to increased anger
B.
No specific group is at higher risk.
C.
School-aged child, due to frustration
D.
Toddler, due to lack of verbal ability

yifu223 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
This child may have early Lyme disease, which is treated presumptively with Ceftin prior to obtaining laboratory results. By the time carditis and neurological involvement occur, the rash has generalized. Admission is not warranted.

Answer to Question 2

ANS: D
Toddlers are more prone to biting due to the frustration of not being able to verbalize their feelings.