Author Question: The nurse on a medicalsurgical unit identifies several clients as being at risk for hemolytic ... (Read 49 times)

bio_gurl · **on:** Jul 23, 2018

The nurse on a medicalsurgical unit identifies several clients as being at risk for hemolytic symptoms after the administration of oxidative medications. Which clients does the nurse correctly identify as being at risk?

1. A male of Egyptian descent with no allergies
2. A male immigrant from Morocco with hypertension
3. An adolescent female from India with anemia
4. A Latina female with an allergy to fava beans
5. An older Native American male with diabetes

Question 2

A client develops angioedema and difficulty swallowing after receiving an intravenous medication. The nurse recognizes this is characteristic of which effect?

1. A minor adverse effect
2. A life-threatening adverse effect
3. An unpredictable side effect
4. A reaction secondary to urticaria

joshraies · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2
Rationale 1: Males of Mediterranean and African descent are known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.
Rationale 2: Males of Mediterranean and African descent are known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.
Rationale 3: Females are not known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.
Rationale 4: Females are not known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.
Rationale 5: Males of Native American descent are not known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.
Global Rationale: Males of Mediterranean and African descent are known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications. Females are not known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications. Males of Native American descent are not known to have a deficiency of the enzyme G6PD, which can lead to hemolysis of red blood cells after administration of oxidative medications.

Answer to Question 2

Correct Answer: 2
Rationale 1: Angioedema involves facial edema, which can lead to difficulty swallowing and is considered a serious or life-threatening adverse effect, not a minor adverse effect.
Rationale 2: Angioedema involves facial edema, which can lead to difficulty swallowing and is considered a serious or life-threatening adverse effect.
Rationale 3: Side effects are predictable and less severe than angioedema and difficulty swallowing.
Rationale 4: Urticaria is manifested by hives.
Global Rationale: Angioedema involves facial edema, which can lead to difficulty swallowing and is considered a serious or life-threatening adverse effect. Side effects are predictable and less severe than angioedema and difficulty swallowing. Urticaria is manifested by hives.