A child is admitted with a diagnosis of early localized Lyme disease. Which clinical manifestations would the nurse expect to find on the initial assessment of this client? Select all that apply.

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Early localized Lyme disease is characterized by the development of erythema migrans (EM) rash, which appears at the site of the tick bite after a few days to weeks. The rash usually starts as a red papule, expands gradually to form a characteristic circular or oval lesion with central clearing, and may reach up to 5-15 cm in diameter. Other common clinical manifestations may include fever, headache, fatigue, myalgias, arthralgias, and malaise. Hyperactivity and cranial nerve palsies are not typical features of early localized Lyme disease.

A Child Is Admitted with a Diagnosis of Early Localized