— 健康促進與維護 · MEDIUM · MCQ —
護理師教導個案預防萊姆病。哪項建議最有效？
A nurse is teaching a client about preventing Lyme disease. What is the most effective advice?
- AStay indoors during the entire summer整個夏季待在室內
- BUse essential oils as a repellent使用精油作為驅蟲劑
- CCheck for ticks only once a week每週只檢查一次蜱蟲
- DWear long sleeves and pants in wooded areas✓ 正解在林地穿著長袖上衣和長褲
— Explanation · 中文詳解 —
萊姆病經由蜱蟲（Tick）叮咬傳播，防護關鍵是遮蔽皮膚與頻繁檢查。D 正確：穿長袖長褲可防叮咬。A 錯誤：不需過度自我限制；B 錯誤：精油防護力不足，應使用含 DEET 之藥劑；C 錯誤：應在每次戶外活動後立即檢查。
Lyme disease is transmitted via tick bites, so prevention centers on covering the skin and performing frequent tick checks. D is correct: long sleeves and pants prevent bites. A is incorrect: extreme self-restriction is unnecessary. B is incorrect: essential oils provide insufficient protection, and DEET-containing repellents should be used. C is incorrect: tick checks should be performed immediately after every outdoor activity.
✦ 台美臨床差異
美國萊姆病盛行（特別是東北部），防蜱衛教是護理重點；台灣雖有蜱蟲但萊姆病相對少見，護理重點多為恙蟲病（Scrub typhus）。