— 健康促進與維護 · MEDIUM · SATA —
護理師向社區團體進行萊姆病預防衛教。應包含哪些行動？（選所有適合的）
A nurse is teaching a community group about preventing Lyme disease. Which actions should the nurse include? (Select all that apply.)
- AWear long-sleeved shirts and long pants when hiking✓ 正解健行時穿著長袖上衣和長褲
- BUse insect repellent containing DEET✓ 正解使用含有 DEET 的防蟲劑
- CCheck for ticks on your skin after outdoor activities✓ 正解戶外活動後檢查皮膚上是否有蜱蟲
- DRemove ticks by burning them with a match用火柴燒死蜱蟲
- EApply permethrin to clothing and gear✓ 正解在衣物和裝備上塗抹 Permethrin
— Explanation · 中文詳解 —
萊姆病由蜱蟲叮咬傳播。防護重點包括穿著長袖衣物、使用含 DEET 防蟲劑、使用 permethrin 處理衣物，以及戶外活動後確實檢查皮膚。選項 D 錯誤，用火燒或塗抹酒精會刺激蜱蟲吐出更多病原體，應使用鑷子夾住頭部垂直拔除。
Preventing Lyme disease involves minimizing tick exposure through protective measures such as wearing long sleeves, using DEET repellents, applying permethrin to clothing, and performing thorough tick checks after outdoor activities. Burning ticks is incorrect as it may cause them to regurgitate pathogens; they should be removed with tweezers.
✦ 台美臨床差異
美國萊姆病盛行率高；台灣則較罕見，但山區旅遊仍需注意蜱蟲叮咬導致的恙蟲病。