A group of students from Greece is planning a mission trip to a region where malaria is endemic. For which of the following conditions should the nurse screen the students before starting pri-maquine therapy?
a. Glucose-6-phosphate dehydrogenase deficiency
b. Celiac sprue
c. Hypothyroidism
d. Syndrome of inappropriate antidiuretic hormone (SIDAH)
A
The nurse should screen the students for glucose-6-phosphate dehydrogenase deficiency, because hemolysis is most likely to occur in individuals likely to have this condition, such as black popu-lations and darker skinned Caucasians, such as Sardinians, Greeks, Iranians, and Sephardic Jews.
There are no indications to screen for Celiac sprue, hypothyroidism, or SIDAH.
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