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Exam NCLEX-RN topic 1 question 37 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 37
Topic #: 1
[All NCLEX-RN Questions]

An 8-year-old child comes to the physician’s office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse." The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

  • A. A decreased urinary output and flank pain
  • B. A fever of over 103F occurring over the last 2–3 weeks
  • C. Rashes covering the palms of the hands and the soles of the feet
  • D. Headaches, malaise, or sore throat
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Suggested Answer: D 🗳️
(A) Urinary tract symptoms are not commonly associated with Lyme disease. (B) A fever of 103F is not characteristic of Lyme disease. (C) The rash that is associated with Lyme diseasedoes not appear on the palms of the hands and the soles of the feet. (D) Classic symptoms of Lyme disease include headache, malaise, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, sore throat, abdominal pain, and cough.
by HusseinKeyow at Aug. 13, 2023, noon

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Jasmine_Michelle_Santos
3 months, 1 week ago
B. You may have heard the term "chronic Lyme disease." Some people use the term to refer to long-term symptoms they think may be linked to an earlier case of Lyme disease. But that term isn't well-defined. Research has found that these symptoms aren't related to ongoing illness caused by borrelia bacteria. Research also shows that continued use of antibiotics doesn't improve these symptoms. If you have new health concerns or continuing health problems after Lyme disease, talk to your provider. Symptoms may be due to many potential causes. Your provider can help you figure out the cause of your symptoms and find the right treatment for you.
upvoted 1 times
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Crysie
1 year ago
Answer - A
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HusseinKeyow
1 year, 2 months ago
Answer b
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