The nurse is caring for a patient of Greek descent who plans to travel to an area of the world in which malaria is endemic. What should this patient be tested for before administering antimalarial medications?
A) Tay-Sachs' disease
B) Glucose-6-phosphate dehydrogenase (G6PD) deficiency
C) Plasmodium
D) Penicillin allergy
B
Feedback:
Patients of Mediterranean descent, including Greeks, are more likely to have a G6PD deficiency. When patients with this deficiency take primaquine, chloroquine, or quinine, an acute hemolytic crisis may occur. Patients of Mediterranean descent should be tested for G6PD deficiency before any antimalarial drugs are prescribed. Tay-Sachs' disease is a disorder seen in those of middle-eastern descent that causes death of the child by age 5 . Plasmodium is the genus strain that causes malaria. Penicillin allergy has no connection to this situation.
You might also like to view...
An interdisciplinary team has been commissioned to create policies and procedures aimed at preventing acute hemolytic transfusion reactions. What action has the greatest potential to reduce the risk of this transfusion reaction?
A) Ensure that blood components are never infused at a rate greater than 125 mL/hr. B) Administer prophylactic antihistamines prior to all blood transfusions. C) Establish baseline vital signs for all patients receiving transfusions. D) Be vigilant in identifying the patient and the blood component.
The screening test for preterm labor measures the presence of a substance called ______________________________
Fill in the blank(s) with correct word
The nurse is concerned that a 10-year-old patient injured in a motor vehicle accident may be developing septic shock
Which assessment findings would support this concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The heart rate is 120 bpm sustained. 2. The patient has thready peripheral pulses. 3. The patient is crying. 4. Capillary refill is 2 seconds. 5. The patient has diarrhea.
A client with a history of myocardial infarctions tells the nurse that he has been smoking for 35 years and it does not matter now if he stops. The best response by the nurse would be:
1. "It will reduce your risk of lung cancer.". 2. "Your risk of continued coronary heart disease will decrease by half when you stop.". 3. "It will decrease any complications you might develop.". 4. "It will enhance the effects of your medications.".