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 A

Explanation

A. Sickle cell disease is classified as an autosomal recessive disorder. This means that a child must inherit two copies of the mutated gene (one from each parent) to express the disease. Individuals with one normal and one mutated gene are carriers (sickle cell trait) but do not exhibit symptoms.
B. X-linked genetic disorders are caused by mutations on the X chromosome and typically affect males more severely than females, as males have only one X chromosome. Sickle cell disease is not located on the X chromosome; therefore, it is not classified as X-linked.
C. In an autosomal dominant disorder, only one copy of the mutated gene is needed for an individual to express the disease. Sickle cell disease does not follow this inheritance pattern; it requires two copies of the mutated gene, which makes this classification inaccurate.
D. While sickle cell disease is indeed an inherited disorder, this term is broad and could apply to many genetic conditions. It describes the general nature of the disease but does not provide the specificity that "autosomal recessive disorder" does.

A. A staff nurse filing an event report after making a medication error. B. A nurse manager abuses their power by humiliating a new nurse in front of their peers for making a medication error. C. A charge nurse improperly uses authority by condescending a new nurse who asked them a question about medication administration. D. Sexual harassment of a patient by their primary nurse.

Correct Answer is A

Explanation

A. Filing an event report after a medication error is a professional and responsible action. This behavior promotes transparency and accountability and is often required by healthcare facilities to improve safety and prevent future errors. Generally, filing such a report itself does not carry disciplinary consequences, especially if done in accordance with the facility's policies.
B. This behavior can have serious disciplinary consequences. Humiliating a colleague can create a hostile work environment, which may lead to formal complaints and disciplinary actions against the nurse manager. Such actions violate workplace professionalism and can result in legal repercussions as well.
C. This behavior can also lead to disciplinary action. Condescension and disrespect undermine teamwork and can discourage open communication, which is critical in healthcare settings. This behavior can be reported and may be addressed by management or human resources.
D. Sexual harassment of a patient is a serious offense that can lead to severe legal and disciplinary consequences. It is a violation of ethical and legal standards in healthcare, resulting in potential termination, loss of licensure, and legal action.

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

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Naxlex Comprehensive Predictor Exams

Which term best describes sickle cell disease?

Correct Answer is A

Explanation

Which of the following behaviors would not have disciplinary or legal consequences?

Correct Answer is A

Explanation

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