The nurse is providing education to the parents of a child who was admitted with abdominal pain, fatigue, and yellow-tinged skin and sclera that was determined to be due to hemolysis. The liver dysfunction has resolved and the child is ready to be discharged, but the cause of the child’s hemolysis is still unknown at this time. Out of an abundance of caution, the nurse instructs on the list of medications/food the child must not receive to prevent possible recurrence. Which items are included on the list? Select all that apply.

Question

The nurse is providing education to the parents of a child who was admitted with abdominal pain, fatigue, and yellow-tinged skin and sclera that was determined to be due to hemolysis. The liver dysfunction has resolved and the child is ready to be discharged, but the cause of the child&rsquo;s hemolysis is still unknown at this time. Out of an abundance of caution, the nurse instructs on the list of medications/food the child must not receive to prevent possible recurrence. Which items are included on the list? Select all that apply.

Accepted Answer

Fava beans , Primaquine, Nitrofurantoin. The child may have glucose-6-phosphate dehydrogenase (G6PD) deficiency. Oxidizing drugs such as primaquine and nitrofurantoin, as well as fava beans, can cause severe hemolysis of red blood cells, leading to hyperbilirubinemia and anemia. Grapefruit, phenytoin, and acetaminophen are not substances that will cause severe hemolysis in patients with G6PD deficiency.

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