A nurse is teaching a community parent group about signs and symptoms of Lyme disease. Which statements does the nurse include?(Select all that apply.)

Correct Answer: D

Rationale: Step 1: Lyme disease is caused by the bacterium Borrelia burgdorferi transmitted through tick bites. Step 2: The incubation period for Lyme disease is typically 3-30 days after a tick bite. Step 3: Early symptoms include fever, fatigue, headache, and a characteristic bulls-eye rash. Step 4: The bulls-eye rash (erythema migrans) is a hallmark sign of early Lyme disease. Step 5: Inability to bear weight is not typically a symptom of Lyme disease. Step 6: Therefore, the correct statement includes the manifestation of Lyme disease 3-30 days after a tick bite (Choice D). Other choices are incorrect as they do not align with typical signs and symptoms of Lyme disease.

Correct Answer: C

Rationale: Correct Answer: C Rationale: The nurse should discuss rotating two or three different types of shampoos daily with the client diagnosed with seborrheic dermatitis of the scalp. This is because using different shampoos can help prevent the scalp from becoming resistant to one specific shampoo and can also help target different aspects of the condition. Using the same shampoo repeatedly may lead to decreased effectiveness over time. Additionally, rotating shampoos can help prevent the buildup of product residue on the scalp, which can exacerbate seborrheic dermatitis symptoms. This approach promotes scalp health and reduces the risk of irritation and flare-ups. Incorrect Choices: A: Using a fine-toothed comb after shampooing may exacerbate irritation and inflammation in seborrheic dermatitis. B: Applying hydrocortisone 1% twice a day may provide temporary relief but is not a long-term solution for managing seborrheic dermatitis and can have side effects with prolonged

Correct Answer: A

Rationale: The correct answer is A because actinic keratosis lesions typically present as scaly, rough patches on the skin. This is due to the abnormal thickening of the outer layer of the skin caused by sun damage. Choice B is incorrect as actinic keratosis is more common in individuals with fair skin due to their increased sensitivity to UV radiation. Choice C is incorrect as the key microscopic feature of actinic keratosis is the presence of dysplastic cells, not atypical dividing cells in the prickle cell layer. Choice D is incorrect as actinic keratosis can progress to squamous cell carcinoma, not basal cell carcinoma.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): Lipomas are indeed the commonest benign tumors, typically composed of adipose (fat) tissue. They are usually slow-growing and painless. This statement accurately reflects the characteristic of lipomas. Summary of Incorrect Choices: B: Lipomas are not more common in males; they occur with equal frequency in both males and females. C: While lipomas can arise in various connective tissues, they most commonly develop in subcutaneous fat. D: Lipomas can occur in various locations, including the palm, sole of foot, and scalp, although they are more commonly found in other areas.

Correct Answer: B

Rationale: The Rule of Nines is a method used to estimate the total body surface area affected by burns in adults. It divides the body into regions, each representing 9% or multiples of 9% of the total body surface area. This helps determine the severity of the burn and guide treatment. Choice B is correct as it accurately reflects the application of the Rule of Nines in assessing burn percentage in adults. Choices A, C, and D are incorrect as the Rule of Nines specifically applies to adults and not children, and it does not refer to the depth of a burn but rather the extent of the burn injury.