Module 3/NURS 5433 Module 3 / Questions & Answers/Latest Updated/Guaranteed A+ Score

What is the causative agent for lyme disease? (Ansa spirochete (borrelia Burgdorferi) comes from a tick. How long must a tick be attached to transmit lyme disease? (Ans- 48 hours What is the incubation period for lyme disease? (Ans- 1-32 days with an average of 11 days this is why you monitor a patient for 30 days after the removal of a tick How large must the erythema migraines rash be to diagnose lyme disease? (Ans- 5cmWhat are the s/s of lyme disease? (Ans- meningitis, cranial neuritis, lymphocytic, radiculomyelopathy, encephalomyelitis acute onset of a 2nd or 3rd degree AV block... this resolves in days to weeks joint pain/swelling How do you diagnose lyme disease? (Ans- perform an enzyme immunoassay (EIA) or an immunofluorescent assay (IFA). This will detect antibodies to B. burgdorferi. If these tests come back positive, then you need to run a western blot test to confirm disease What is the first stage of lyme disease? (Ans- Early localized disease is when there is a macule or papule at the site of the tick bite. This will enlarge over days to weeks. Fever, malaise, headache, arthralgia, neck stiffness What is the second stage of lyme disease?(Ans- Disseminated stage occurs 3-12 weeks after initial bite. Meningitis, conjunctivitis, arthralgia, myalgia, headache, fatigue, carditis (seen by the sudden AV blocks), palsies of facial cranial nerves What is the third stage of lyme disease? (Ans- Persistent months to years after bite. Recurrent arthritis in large joints (knees). encephalopathy and polyradiculopathies, myalgia, arthralgia and fatigue Name 5 differential diagnoses for lyme disease (AnsRMSF Rheumatic fever meningitis cellulitis RA SLE viral syndrome