What is the most likely reason a patient would discontinue their prescribed hydroxyurea?
worsening anemia
vasoocclusive pain
gastrointestinal upset
itching/hives
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. This task is appropriate for UAP to perform, as it involves basic hygiene and does not require nursing judgment or clinical assessment. UAP can assist with routine oral care under the direction of the RN.
B. Assisting with position changes is a basic care activity that UAP can perform. This task helps prevent pressure ulcers and maintains client comfort, and it does not require the clinical judgment of a nurse.
C. Administering IV medications or fluids is a nursing task that requires specific training and knowledge of nursing assessments, potential complications, and monitoring. This task should only be performed by a licensed nurse, not by UAP.
D. UAP can document basic measurements such as urine output, as this is a straightforward task that does not require clinical judgment. However, the RN should ensure that the UAP understands how to accurately measure and record this information.
E. While UAP can observe and report general changes, monitoring for clinical indications of dehydration requires nursing assessment skills and judgment. This task should be performed by an RN.
F. While UAP can weigh clients, the assessment of weight trends requires clinical judgment and interpretation of data, which falls under the responsibilities of a licensed nurse. The RN should evaluate and interpret the data regarding the client's health status.
Correct Answer is B
Explanation
A. Battery refers to the intentional and unlawful physical contact with another person without their consent. In this scenario, the nurse did not intend to harm the patient; the action was accidental. Therefore, battery would not apply here.
B. Malpractice is a type of negligence that occurs when a healthcare professional fails to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. Administering the wrong medication is a breach of duty, and if this mistake leads to harm (like an allergic reaction), the nurse can be held liable for malpractice.
C. Abuse generally refers to intentional harm or mistreatment of a patient, often involving physical or emotional harm. Since the nurse's actions were accidental and not intended to cause harm, this would not constitute abuse.
D. Assault involves the threat or attempt to cause physical harm to another person, creating a fear of imminent harm. Since the nurse did not intend to threaten or harm the patient, and the incident was not a threat, this does not fit the definition of assault.
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