A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Platelet count.

Liver enzymes.

Complete blood count.

Serum electrolytes.

Answer and Explanation

The Correct Answer is C

Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.

Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.

Choice C reason:

The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.

Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.

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Correct Answer is A

Explanation

Choice A reason:

The correct answer is a) because using antibacterial soap can be too harsh and irritating for the skin that is undergoing radiation treatment. Gentle cleansing with mild soap is recommended to avoid skin irritation.

Choice B reason: Drying the area with patting motions is appropriate as it helps prevent further irritation to the sensitive skin.

Choice C reason: Applying prescribed lotions is recommended to keep the skin moisturized and help with any radiation-induced dryness or irritation.

Choice D reason: Wearing clothing to cover the radiation site can protect the area from sun exposure and further irritation, which is appropriate care for the skin.

A. Decreased weeping of ulcerations in affected areas. B. Reduced pain in eczematous areas. C. Healing with a return to normal skin appearance. D. Hydration of affected dry skin areas.

Correct Answer is D

Explanation

Choice A reason: Decreased weeping of ulcerations is not the primary expected therapeutic response of urea cream.

Choice B reason: Reduced pain is beneficial but not the primary expected response of urea cream.

Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response of urea cream.

Choice D reason:

The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for managing eczema.

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A client with pernicious anemia takes supplemental folate and self-administers monthly vitamin B12 injections. The client reports feeling increasingly fatigued. Which laboratory value should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?

Correct Answer is A

Explanation

A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?

Correct Answer is D

Explanation

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