The nurse on a medical–surgical 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
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.
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