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健康促進與維護 · MEDIUM · MCQ

護理師教導個案關於萊姆病的預防措施。哪項行動最優先?

A nurse is teaching a client about the prevention of Lyme disease. Which action should the nurse prioritize?

  • ASuggest sleeping under a mosquito net
    建議睡在蚊帳下
  • BEncourage the use of DEET-containing insect repellent✓ 正解
    鼓勵使用含 DEET 的驅蟲劑
  • CRecommend avoiding all outdoor activities
    建議避免所有戶外活動
  • DAdminister a prophylactic dose of antibiotics
    給予預防性抗生素劑量
Explanation · 中文詳解

萊姆病(Lyme disease)是由伯氏疏螺旋體(Borrelia burgdorferi)引起,透過硬蜱叮咬傳播。預防的核心在於避免接觸蜱蟲。使用含有 DEET 的防蚊液是目前經 CDC 證實最有效的個人防護措施。避免戶外活動不切實際,且不符合健康促進的精神。抗生素僅在確診或特定高風險暴露後使用,非預防性常規。蚊帳對在地面爬行的蜱蟲無效,蜱蟲多棲息在草叢與森林邊緣,應穿著長褲並將褲管塞入襪子。

Lyme disease is caused by Borrelia burgdorferi and is transmitted through the bite of hard ticks. The core of prevention is avoiding contact with ticks. Using insect repellent containing DEET is currently the most effective personal protective measure verified by the CDC. Avoiding all outdoor activities is impractical and inconsistent with health promotion. Antibiotics are used only after confirmed infection or specific high-risk exposures, not as routine prophylaxis. Mosquito nets are ineffective against ticks that crawl on the ground; ticks inhabit tall grass and forest edges, so clients should wear long pants tucked into socks.

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