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Problem 129

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NCLEX-PN Practice Questions Exam Cram
NCLEX-PN Practice Questions Exam Cram

NCLEX-PN Practice Questions Exam Cram

Book edition 3 Edition
Author(s) Wilda Rinehart, Diann Sloan, Clara Hurd

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Short Answer

The client arrives in the emergency room with a "bull's eye" rash. Which question would be most appropriate for the nurse to ask the client? A. "Have you found any ticks on your body?" B. "Have you had any nausea in the last 24 hours?" C. "Have you been outside the country in the last 6 months?" D. "Have you had any fever for the past few days?"

A) Have you found any ticks on your body? B) Have you recently eaten any new foods? C) Have you been in contact with anyone who has chickenpox? D) Have you traveled to a foreign country in the past month?
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Step by Step Solution

Step 1: Analyze the symptom

The client presents with a "bull's eye" rash. It is a specific sign of Lyme disease, which is primarily caused by the bite of an infected tick.

Step 2: Evaluate the options

Examine all the given options. It's important to select a question that addresses the potential cause related to the visible symptom, i.e., the "bull's eye" rash.

Step 3: Select the most suitable question

Considering the symptom and it's known underlying causes, the most direct, relevant question would be related to potential tick exposure.

Step 4: Identify the correct option

The question "Have you found any ticks on your body?" directly addresses the potential cause of the symptom, i.e., a tick bite. Hence, option A is the most appropriate question for the nurse to ask the client in this scenario.

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