What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

worsening anemia

vasoocclusive pain

gastrointestinal upset

itching/hives

Answer and Explanation

The Correct Answer is A

A.   This side effect, known as myelosuppression, is a significant concern and can manifest as anemia.
B.   Hydroxyurea is actually prescribed to reduce the frequency of vasoocclusive crises by increasing fetal hemoglobin levels, which helps to prevent sickling of red blood cells. While a patient might experience pain crises while on hydroxyurea, the medication is intended to help manage this issue rather than be a reason for discontinuation.
C.   While gastrointestinal upset is also a possible side effect, the risk of severe blood-related complications typically takes precedence when considering the discontinuation of hydroxyurea
D.   While allergic reactions like itching or hives can occur with many medications, they are less common with hydroxyurea specifically.

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Correct Answer is D

Explanation

A. While concerns about making false reports are understandable, they should not prevent a nurse from reporting suspected abuse. In many jurisdictions, "good faith" reporting protects individuals who report suspected abuse from liability, even if the report turns out to be false.
B. A nurse does not need concrete evidence to report suspected child abuse. The law typically requires that suspicion alone is sufficient to warrant a report. Nurses are encouraged to report any suspicion of abuse to ensure that the appropriate authorities can investigate.
C. Commitment from a potential abuser to stop the abuse does not negate the responsibility to report. Mandatory reporting laws require that any suspicion of child abuse be reported to the appropriate authorities, regardless of the abuser's intentions.
D. This statement accurately reflects the legal obligation of health care professionals. If a nurse has any suspicion of child abuse, they are mandated to report it to the appropriate authorities. This ensures that investigations can occur and that children are protected from potential harm.

A. Decrease collaboration between nurses at different levels. B. Increase delegation between nurses at different levels. C. Decrease the workload of low-risk tasks among licensed practical nurses (LPNs). D. Increase the workload of high-risk tasks among registered nurses (RNs).

Correct Answer is B

Explanation

A. Collaboration between nurses at different levels is essential for improving client outcomes. By working together, nurses can share their expertise and ensure that clients receive the best possible care.
B. By increasing delegation between nurses at different levels, RNs can focus on high-risk tasks that require their expertise, while LPNs can take on more routine tasks. This can help to improve efficiency and reduce the workload of RNs, leading to better client outcomes.
C. LPNs can safely and effectively perform many low-risk tasks, such as monitoring vital signs and administering medications. Decreasing their workload for these tasks would not necessarily improve client outcomes.
D. RNs should not be overburdened with high-risk tasks. By delegating appropriate tasks to LPNs, RNs can focus on high-risk tasks that require their expertise and ensure that clients receive the best possible care.

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What is the most likely reason a patient would discontinue their prescribed hydroxyurea?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

Correct Answer is D

Explanation

The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month. Which of the following actions should the nursing staff take to improve client outcomes?

Correct Answer is B

Explanation

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