Which of the ff would help a client with an allergic skin reaction to reduce itching and maintain skin intact? Choose all that apply

Correct Answer: D

Rationale: Wearing cotton gloves, especially during sleep, would help protect the skin from further irritation caused by scratching during the night. Cotton is a breathable fabric that is gentle on the skin and can help prevent further damage or itching. It also helps in maintaining the skin intact by creating a barrier between the skin and external irritants, thus reducing the chances of exacerbating the allergic reaction.

Correct Answer: D

Rationale: The correct client statement indicating effective teaching about parenteral vitamin B12 therapy for pernicious anemia is, "I will receive parenteral vitamin B12 therapy for the rest of my life." Pernicious anemia is a condition in which the body cannot absorb enough vitamin B12 from food due to a lack of intrinsic factor, a protein produced in the stomach. As a result, lifelong B12 supplementation is necessary to maintain adequate levels of the vitamin. Monthly injections are typically recommended for life to ensure proper B12 levels and prevent complications associated with the deficiency.

Correct Answer: B

Rationale: The nurse should instruct the client to sit upright, leaning slightly forward when experiencing epistaxis (nosebleed). This position helps prevent blood from dripping down the back of the throat, reducing the risk of aspiration. In the case of a client with thrombocytopenia secondary to leukemia, the blood may have difficulty clotting due to low platelet counts. Therefore, it is important to minimize bleeding as much as possible. Lying supine with the neck extended may increase the risk of blood flowing down the throat, while blowing the nose or putting lateral pressure on it may aggravate the bleeding. Holding the nose while bending forward at the waist may also increase blood flow towards the head. Sitting upright, leaning slightly forward is the safest position to prevent complications associated with epistaxis in this case.

Correct Answer: A

Rationale: Neutrophils are the most numerous type of white blood cell (WBC) in the body, comprising about 60-70% of the total WBC count. They are a critical component of the immune system, playing a key role in fighting bacterial infections through phagocytosis (engulfing and destroying pathogens). Neutrophils are known for their rapid response to infections and are often the first responders to sites of inflammation. Their abundance and rapid mobilization make them essential in the body's defense against harmful pathogens.

Correct Answer: C

Rationale: Anemia is a condition characterized by a decrease in the concentration of red blood cells in the blood. This can result from various factors such as decreased production of red blood cells, increased destruction of red blood cells, or blood loss. Hemoglobin levels are often used to diagnose anemia, but the key feature of anemia is the decrease in the number of red blood cells, leading to reduced oxygen-carrying capacity in the blood. This in turn can lead to symptoms such as fatigue, weakness, and shortness of breath.