Author Question: The nurse is caring for a child recently diagnosed with glucose-6-phosphate dehydrogenase (G6PD) ... (Read 45 times)

jeatrice · **on:** Jun 27, 2018

The nurse is caring for a child recently diagnosed with glucose-6-phosphate dehydrogenase (G6PD) deficiency. The nurse is teaching the parents about triggers that may result in oxidative stress.

Which of the following responses indicates a need for further teaching? A) I doubt he will ever eat fava beans, but they could trigger hemolysis..
B) He must avoid exposure to naphthalene, an agent found in mothballs..
C) He must never take methylene blue for a urinary tract infection..
D) My son can never take penicillin for an infection..

Question 2

The nurse is conducting a physical examination of a toddler with suspected lead poisoning. Lab results indicate blood lead level 52 g/dL. Which action would the nurse expect to happen next?

A) Repeat testing within 2 days and prepare to begin chelation therapy as ordered
B) Repeat testing within 1 week with education to decrease lead exposure
C) Confirm with repeat testing in 1 month and referral to local health department
D) Prepare to admit child to begin chelation therapy

lolol · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
The nurse should emphasize that penicillin is not a known trigger that may result in oxidative stress and hemolysis. Fava beans, naphthalene, and methylene blue can trigger oxidative stress.

Answer to Question 2

A
Feedback:
The American Academy of Pediatrics' recommendation for blood lead levels of 45 to 69 g/dL is to confirm with repeat lab within 2 days and begin chelation therapy. The nurse should also expect to refer to the local health department for investigation of home lead reduction. Lead levels greater than 70 g/dL require immediate hospitalization. Repeat testing in 1 month and education would be appropriate for levels between 15 and 19 g/dL. Repeat testing in 1 week with parent education is appropriate for lead levels between 20 and 44 g/dL.