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 state boards of nursing do have regulatory authority over nursing practice and can take action against nurses who abuse substances, this does not negate the need for an internal program. Organizations should proactively address substance abuse to support employee health and safety, rather than relying solely on external authorities.
B. While safety is a critical concern, emphasizing punishment can create a culture of fear and may discourage employees from seeking help. A punitive approach may lead to further issues, such as hiding problems rather than addressing them.
C. While confidentiality is important, the involvement of the personnel department alone may not be sufficient to address the complexities of substance abuse. A comprehensive program should include input from healthcare professionals, mental health experts, and employee assistance programs to effectively manage and support affected employees.
D. This is the most appropriate consideration. A program focusing on screening, prevention, and early intervention can help identify issues before they escalate, support employees in getting the help they need, and create a healthier workplace culture.

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

What consideration should the nurse-manager prioritize when creating a program to deal with the issue of substance abuse by employees?

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

A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?

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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?

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

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