NORCET 5 mains: The nurse would expect to include which of the following when planning the management of the client with Lyme…

NORCET 5 mains

Medical & Surgical Nursing

Easy

Appeared in: NORCET 5 mains

Explanation

Lyme disease is a bacterial infection caused by the spirochete Borrelia burgdorferi, which is transmitted by ticks.
The standard first-line treatment for early Lyme disease in adults and children older than 8 years is a course of oral antibiotics.
Tetracycline antibiotics, specifically Doxycycline, are the drug of choice for treating this infection, typically for a duration of 10-21 days.
Other effective antibiotics include amoxicillin or cefuroxime, which are often preferred for pregnant women or younger children.

Option A: Complete bed rest is not a standard part of Lyme disease management. Patients are generally advised to continue their activities as tolerated.
Option C: Amphotericin B is a potent antifungal medication used to treat serious systemic fungal infections, not bacterial infections like Lyme disease.
Option D: There is no specific dietary modification, such as a high-protein, fluid-restricted diet, required for managing Lyme disease. Adequate hydration is generally recommended.

Clinical Relevance

Nursing practice connection: Use the key finding related to Pharmacological management of Lyme disease to guide bedside assessment, documentation, and the next nursing action.
Nurses play a crucial role in educating patients about tick bite prevention, proper tick removal, and the importance of completing the full course of antibiotics to prevent complications.
A key nursing responsibility is to monitor for and educate the patient about the adverse effects of doxycycline, which include photosensitivity, gastrointestinal upset, and potential for tooth discoloration in young children.
What if? If the patient were a pregnant woman or a child under 8 years old, the treatment of choice would change from doxycycline to amoxicillin or cefuroxime to avoid potential side effects like tooth staining and issues with bone growth.

How to Approach the Question

First, identify the core subject of the question, which is the management plan for a specific condition: Lyme disease.
Recall the nature of Lyme disease. It is a bacterial infection caused by the spirochete Borrelia burgdorferi.
Based on this, determine the appropriate class of medication. Bacterial infections are treated with antibiotics.
Evaluate the options. 'Tetracycline treatment' is a class of antibiotics. 'Amphotericin B' is an antifungal. The other options are non-pharmacological and not standard for this condition.
Select the antibiotic option as the correct intervention for a bacterial infection.

Concept Tested & Keywords

Q_u5D1GtOfiZMSB6m5cnib

E6 Medicine Harrison 22e Part 1 p. 1494-1496

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 1889-1891

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