The camp nurse conducts a class for incoming summer counselors on prevention of tick bites and Lyme disease. Which instructions should the nurse include? Select all that apply.

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11ecbb05_c9ef_a88f_b433_fb79688276c5_MD0009_00 Lyme disease develops after a bite from a deer tick infected with Borrelia burgdorferi. Clients initially develop flulike symptoms (eg, headache, fever, myalgia, fatigue). Many clients develop erythema migrans, a bull's-eye rash; however, it is not always present. Any of these symptoms should be reported immediately to a health care provider (Option D). The client will likely be prescribed antibiotics (eg, doxycycline, amoxicillin) to treat Lyme disease and prevent it from causing complications (eg, carditis, chronic arthritis, meningitis, facial paralysis). To prevent tick bites during outdoor activities, clients should: Apply an insect repellent spray that contains tick-repelling ingredients (eg, DEET, picaridin) (Option A) Avoid tall grass and thick underbrush, and hike only in the center of the trails (Option B) Avoid tall grass and thick underbrush, and hike only in the center of the trails (Option B) Wear long-sleeved shirts tucked into pants, long pants tucked into socks or boots, and closed-toed shoes (Option E) Wear long-sleeved shirts tucked into pants, long pants tucked into socks or boots, and closed-toed shoes (Option E) (Option C) Covering attached ticks with petroleum jelly or nail polish is a folk remedy that actually increases the chance of infection by keeping the tick on the skin. Ticks should be promptly removed using tweezers, being careful to grasp the tick close to the attachment site and not crush it during removal. Educational objective: Clients should be taught to prevent tick bites while hiking by using insect repellent; avoiding tall grass and thick underbrush; and wearing long-sleeved shirts, long pants, and closed-toed shoes. Ticks should be promptly removed with tweezers, keeping them intact. Flulike symptoms and a bull's-eye rash should be reported immediately to the health care provider.

The Camp Nurse Conducts a Class for Incoming Summer Counselors