護理師向病人說明預防萊姆病（Lyme disease）的措施。應包含哪些？（選所有適合的）
A nurse is teaching a client about the prevention of Lyme disease. What should be included? (Select all that apply.)
- AWear long-sleeved shirts and long pants when hiking✓ 正解健行時穿著長袖襯衫和長褲
- BUse insect repellent with DEET on skin✓ 正解在皮膚上使用含有DEET的防蟲劑
- CPerform tick checks after outdoor activities✓ 正解戶外活動後進行蜱蟲檢查
- DTuck pants into socks to expose ankles將褲管塞入襪子以暴露腳踝
- EImmediately remove a tick with tweezers if found✓ 正解若發現蜱蟲，立即使用鑷子將其移除
萊姆病（Lyme disease）是由蜱蟲（Tick）傳播的疾病。預防核心是「避免叮咬」與「及時發現」。戶外活動時穿著長袖長褲、將褲管塞入襪子（阻隔蜱蟲接觸皮膚）、使用含 DEET 防蚊液均是物理與化學屏障。返家後檢查身體是否有蜱蟲附著極為重要，若發現蜱蟲，應立即用鑷子夾住頭部移除，降低病原體進入人體的機率。
Lyme disease is transmitted by ticks. The core of prevention is avoiding bites and detecting ticks promptly. During outdoor activities, wearing long-sleeved shirts and long pants, tucking pant legs into socks (to block ticks from contacting the skin), and using DEET-containing insect repellent serve as both physical and chemical barriers. Performing a full-body tick check after returning home is also essential. If a tick is found, it should be removed immediately by grasping the head with tweezers, which reduces the chance of pathogens entering the body.
萊姆病在美國東北部與中西部屬於流行病，護理師衛教時常會提供如何辨識「牛眼狀紅斑（Erythema migrans）」的圖示，這是萊姆病最具特徵的臨床表現。