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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.
Correct Answer is B
Explanation
A. Dusky mucous membranes are not typically associated with pernicious anemia.
B. A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C. Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D. Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.
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