Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?

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Question 1 of 5

Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?

Correct Answer: B

Rationale: Stage II Lyme disease involves disseminated infection, often with cardiac (e.g., AV block) or neurological symptoms.

Question 2 of 5

An unresponsive Caucasian patient has been brought to the emergency room by EMS. While assessing this patient, the nurse notes that the patients face is a cherry-red color. What should the nurse suspect?

Correct Answer: A

Rationale: Carbon monoxide poisoning causes a bright cherry red color in the face and upper torso in light-skinned persons.

Question 3 of 5

A dermatologist has asked the nurse to assist with examination of a patients skin using a Woods light. This test will allow the physician to assess for which of the following?

Correct Answer: B

Rationale: Woods light makes it possible to differentiate epidermal from dermal lesions and hypopigmented and hyperpigmented lesions from normal skin.

Question 4 of 5

The nurse is planning care to meet the patient's pain management needs related to burn treatment. The patient is alert, oriented, and follows commands. The pain is worse during the day when various treatments are scheduled. Which statement to the physician best indicates the nurse's knowledge of pain management for this patient?

Correct Answer: D

Rationale: Patient-controlled analgesia allows the patient with burns to self-medicate for pain, thus providing independence with pain management strategies. Nonpharmacological pain strategies may provide helpful adjuncts to pain interventions. Scheduled pain medications and anxiolytic agents, although helpful, do not put the control of pain management with the patient.

Question 5 of 5

The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which finding indicates a complication related to prolonged application of the dressings?

Correct Answer: B

Rationale: Prolonged use of occlusive dressings can cause folliculitis, maceration, or skin atrophy, but folliculitis is a key infection-related complication.

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