Which patient information is most important for the nurse to monitor when evaluating the effectiveness of deferoxamine (Desferal) for a patient with hemochromatosis?
Skin color
Liver function
Hematocrit
Serum iron level
The Correct Answer is D
A. Skin color: While changes in skin color can occur in hemochromatosis due to excess iron deposition, it is not the most important parameter to monitor for the effectiveness of deferoxamine.
B. Liver function: Liver function tests can be abnormal in hemochromatosis due to iron overload, but monitoring liver function alone may not adequately assess the effectiveness of deferoxamine in reducing iron levels.
C. Hematocrit: Hematocrit measures the proportion of blood that is made up of red blood cells and may be elevated in hemochromatosis, but it is not the primary parameter to monitor the effectiveness of deferoxamine.
D. Serum iron level: Serum iron level is the most direct indicator of iron overload and the effectiveness of deferoxamine in chelating and removing excess iron from the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hemophilia A: Hemophilia A is caused by a deficiency of factor VIII, leading to problems with blood clotting.
B. Hemophilia B: Hemophilia B is caused by a deficiency of factor IX, not factor VIII.
C. Christmas disease: Christmas disease is another name for Hemophilia B, which is caused by a deficiency of factor IX.
D. Sickle cell disease: Sickle cell disease is a genetic disorder affecting hemoglobin, not a clotting factor deficiency.
Correct Answer is B
Explanation
A. During cold weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
B. Before menstruation begins: Manifestations of fibrocystic breast disease, such as breast pain and lumpiness, tend to occur or worsen in the premenstrual phase of the menstrual cycle.
C. After menstruation ends: Manifestations of fibrocystic breast disease are typically most prominent before menstruation rather than after it ends.
D. During hot weather: Weather conditions do not typically affect the manifestations of fibrocystic breast disease.
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