A nurse is assessing the skin integrity of a client who has AIDS. When performing this inspection, the nurse should prioritize assessment of what skin surfaces.

Correct Answer: A

Rationale: The correct answer is A: Perianal region and oral mucosa. In clients with AIDS, these areas are particularly prone to opportunistic infections due to the compromised immune system. The perianal region can be affected by conditions like anal warts or fungal infections, while oral mucosa can develop oral thrush or other oral infections. These areas are also important for early detection and treatment to prevent systemic spread of infections. Choices B, C, and D are incorrect as they do not prioritize areas that are more susceptible to infections in clients with AIDS.

Correct Answer: C

Rationale: The correct answer is C: Hemophilia A. Factor VIII deficiency is characteristic of Hemophilia A. Factor VIII is crucial for blood clotting, and its deficiency leads to prolonged bleeding. Sickle cell disease (A) is a genetic disorder affecting red blood cells. Christmas disease (B) is another name for Hemophilia B, which results from a deficiency of factor IX, not factor VIII. Therefore, the incorrect choices are A, B, and D.

Correct Answer: B

Rationale: Correct Answer: B - Avoid exposure to others with acute infection Rationale: 1. Patients with aplastic anemia have compromised immune systems. 2. Acute infections can be life-threatening for these patients. 3. Teaching the patient to avoid exposure to infections is crucial for preventing complications. 4. This concept directly relates to health maintenance by reducing the risk of infections. Summary: - Choice A: Nutrition is important but not the most critical for aplastic anemia patients. - Choice C: While stress management is beneficial, infection prevention is more vital for health maintenance. - Choice D: Sleep is essential, but avoiding infections takes precedence for aplastic anemia patients.

Correct Answer: B

Rationale: The correct answer is B. During a bone marrow biopsy, a needle is inserted into the bone to extract a sample. The client may experience a crunching sound or scraping sensation as the needle punctures the bone due to the nature of the procedure. This is because the bone is a hard structure, and the needle has to penetrate it to collect the sample. Choice A is incorrect because a bone marrow biopsy involves extracting a solid tissue sample, not fluid. Choice C is incorrect as additional people are not typically prohibited during the procedure, but proper sterile techniques are followed. Choice D is incorrect because sedation may or may not be given, and the client may still be aware of some sensations during the procedure.

Correct Answer: B

Rationale: The correct answer is B (4.6-6.0) because it represents the normal range for total Red Blood Cell (RBC) count in men, typically measured in millions per microliter. RBC count outside this range may indicate anemia or other health issues. Choice A (4.0-5.0) is too narrow and may miss slightly elevated RBC levels. Choice C (4.2-6.5) is too wide and includes values above the normal range. Choice D (4.0-6.0) is broader and includes lower values not typically seen in healthy men.