A client is diagnosed with G6PD anemia. Which of the following ...

[Lobcity]

A client is diagnosed with G6PD anemia. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply.)
 
  1. Acetaminophen
  2. Aspirin
  3. Chloroquine
  4. Nitrofurantoin
  5. Sulfonamides
  6. Vitamin K

Question 2

A client is prescribed a vitamin B-12 injection every month. Which of the following should the nurse explain to the client as the purpose of this medication?
 
  1. It is needed to make new red blood cells.
  2. It makes the red blood cells more flexible.
  3. It makes the red blood cells hold more oxygen.
  4. It makes the red blood cells hold their shape.

[iman]

Answer to Question 1

2, 3, 4, 5, 6
Medications that heighten the hemolytic affects of G6PD are antimalarial drugs (e.g., chloroquine), common coal tar analgesics (including aspirin), nitrofurantoin, oral hypoglycemics, sulfonamides, thiazides, diuretics, and vitamin K. Acetaminophen has only analgesic and antipyretic properties.

Answer to Question 2

1
Vitamin B-12 is necessary to make erythrocytes and help make thymine, which is a precursor to the red blood cell. The erythrocyte cytoskeleton makes the red blood cell more flexible. Cholesterol helps the red blood cells hold their shape. There is nothing physiologically that will make a red blood cell hold more oxygen.

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