A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?

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Pediatric Integumentary System Questions

Question 1 of 5

A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?

Correct Answer: C

Rationale: Lyme disease serology is unreliable early post-bite; antibodies develop after 4-6 weeks, making this the appropriate time for accurate testing without the tick.

Question 2 of 5

A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?

Correct Answer: B

Rationale: IV analgesics (e.g., morphine) are preferred for major burns due to rapid onset and reliability in shock states, unlike slower or less effective routes.

Question 3 of 5

A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client's test results. Which finding would the nurse interpret as increasing the client's risk of developing acute tubular necrosis?

Correct Answer: A

Rationale: Myoglobinuria from muscle damage in electrical injuries can precipitate in renal tubules, causing acute tubular necrosis. Other findings relate to different complications.

Question 4 of 5

One of the following may support a diagnosis of drug eruption

Correct Answer: C

Rationale: Drug eruptions are often associated with eosinophilia, as it indicates an allergic or hypersensitivity reaction, making C the correct answer.

Question 5 of 5

A 3-day-old neonate presented with numerous firm, yellow-white, 1-2 mm papules and pustules with a surrounding erythematous flare in several sites of the body surface but the palms and soles were spared. Intralesional contents demonstrated eosinophils in Wright-stained smears and culture was sterile. Of the following, the MOST likely diagnosis is

Correct Answer: B

Rationale: Erythema toxicum is a common benign condition in neonates, presenting with pustules containing eosinophils and a sterile culture, sparing palms and soles, making B correct.

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