The nurse is caring for a 21-year-old diagnosed with Lyme disease. Which feature suggests this is early localized disease?

The 49-year-old patient presented with a breast lump found during her monthly breast self-exam. This is confirmed on mammogram; the lump was biopsied and found to be an adenocarcinoma that is HER2/neu negative. The patient requests that interventions conserve as much of her breast tissue as possible. The nurse prepares the patient for which next step in management?  

The 50-year-old previously healthy patient complains of shortness of breath, especially on exertion or when laying down to sleep. She takes over-the-counter allergy medicine for seasonal allergies and melatonin to help her sleep sometimes. Her vital signs are heart rate of 64 bpm, respirations 22, oxygen saturation 99%, and blood pressure 114/68 mmHg. Her assessment is notable for crackles over the bilateral lung bases and a moderate diastolic apical murmur. The nurse prepares the patient for which initial tests? Select all that apply.