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Hydroxyurea significantly improves the frequency of sickle cell crisis, but it has a long list of adverse effects. But if the dose is monitored properly and complete blood count of patient is done on regular basis, than some of the adverse effects can be easily identified and managed accordingly.



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Hydroxyurea passes into breast milk and may have undesirable effects on a nursing infant.

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Consider hospital discharge when the patient's pain is controlled with an orally administered analgesic or no analgesia is needed.

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The nurse should instruct the client to keep the stoma moist, such as by applying a thin layer of petroleum jelly around the edges, because a dry stoma may become irritated.

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An increased white blood cell count may or may not be present and is not related specifically to multiple myeloma.

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Only one small differencedistinguishes nurses who write NCLEX questions: Theyre trained to write questions in astyle particular to the NCLEX.

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This time period can vary from 3 weeks to several months and will be determined by your surgeon and medical oncologist.

When patients with sickle cell develop infections, they are nearly always hospitalized immediately and treated with intravenous or high-dose injections of antibiotics in order to prevent septicemia, the dangerous spread of the infection throughout the body.

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Macrocytosis may mask folic acid deficiency; prophylactic folic acid is recommended.

Monitoring arterial blood pHhelps the nurse evaluate the effectivenessof treatment.

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Of female subjects with known HU exposure at conception or during gestation and by male subjects with known exposure at the time of conception, 16 pregnancy outcomes were reported with 8 live births (6 term and 2 premature deliveries), 5 elective abortions, and 3 spontaneous abortions.

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Despite these risks, the risk of malformations of the fetus are not increased, so long as radiation is not given during pregnancy.

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Promote independence in activities of dailyliving (ADLs) to maintain self-esteem.

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NCLEX keysClient needs category: Physiological integrityClient needs subcategory: Reduction of riskpotentialCognitive level: Comprehension3.

Her daughter Sue accompanies her to treatment on Thursday (1 FMLA covered day for Sue, intermittent leave); her son Mike stays with her on Fridays and through the weekend (1 FMLA covered day for Mike, intermittent day).

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