An 18-year-old male is taking Hydroxyurea for treatment of sickle cell anemia. Which options below indicate this medication is working successfully?

The patient experiences a decrease in hemoglobin S.

The patient experiences dehydration due to diuresis

The patient experiences an increase in fetal hemoglobin (Hbg F)

The patient needs fewer blood transfusions.

The patient experiences diuresis

Answer and Explanation

Correct Answer : C,D

A.   The patient experiences a decrease in hemoglobin S. Hydroxyurea does not decrease hemoglobin S levels directly; it works by increasing fetal hemoglobin (Hgb F) levels.
B.   The patient experiences dehydration due to diuresis. This is not an indication that Hydroxyurea is working; it is a potential side effect that should be monitored.
C.   The patient experiences an increase in fetal hemoglobin (Hbg F). Hydroxyurea works by increasing the levels of fetal hemoglobin, which reduces the sickling of red blood cells.
D.   The patient needs fewer blood transfusions. Successful treatment with Hydroxyurea should reduce the frequency of vaso-occlusive crises and the need for blood transfusions.
E.   The patient experiences diuresis. This is not an indicator of the medication's effectiveness; it is a potential side effect.

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Correct Answer is A

Explanation

A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.

A. Family history of prostate cancer B. Race C. Obesity D. Smoking E. Advanced age F. Eating too much red meat

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Family history of prostate cancer is a known risk factor, as the disease can be more common in those with a relative who has had prostate cancer.
B. Race is a significant factor; African American men and Caribbean men of African ancestry have a higher incidence of prostate cancer.
C. Obesity has been linked to an increased risk of developing more aggressive forms of prostate cancer.
D. Smoking, while a risk factor for many cancers, is not as strongly linked to prostate cancer as the other factors listed here.
E. Advanced age is a major risk factor since the probability of developing prostate cancer increases significantly after the age of 50.
F. Consuming a large amount of red meat has been associated with an increased risk of prostate cancer.

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An 18-year-old male is taking Hydroxyurea for treatment of sickle cell anemia. Which options below indicate this medication is working successfully?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["A","B","C","E","F"]

Explanation

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