MRCP UK EXAMINATIONS

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NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with polycythemia vera reports severe itching. Which triggers does the nurse know can cause this symptom? (Select all that apply.)
A
Temperature change
B
Allergic reaction to the RBC increase
C
Alcohol consumption
D
Exposure to water of any temperature
E
Aspirin
Explanation: 

Detailed explanation-1: -Women of childbearing age, patients with malabsorption syndromes, or those with bowel resections are at increased risks of developing a folic acid deficiency and should be provided with folic acid supplements.

Detailed explanation-2: -Polycythemia vera is a type of chronic leukemia (blood cancer) that causes your bone marrow to produce too many red blood cells. It progresses very slowly and often isn’t diagnosed until after the age of 60. Most people manage symptoms well for many years. The biggest risk from too many red blood cells is blood clots.

Detailed explanation-3: -Which statement best describes the function of stem cells in the bone marrow? They produce all blood cells. Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process in a client with leukemia?

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