Which intervention is most important for the nurse to implement to prevent complications from tumor lysis syndrome during chemotherapy?
A. Ensure that the client has a fluid intake of 3000 to 5000 mL per day.
B. Monitor electrocardiograph rhythms every hour during therapy.
C. Apply pressure to all injection sites for 5 minutes.
D. Assist the client in all ambulatory activities.
A
Tumor lysis syndrome is the precipitation of intracellular products released when tumor cells are destroyed rapidly. These products, particularly purines, can increase uric acid crystal precipitation in the kidney tubules and cause acute tubular necrosis. In addition, serum potassium levels can become quite high. Maintaining adequate hydration and urine output is the key to preventing complications.
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Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
a. The blanket is not tucked into the mattress. b. Diapers and wipes are stacked at the foot of the crib. c. The crib side is locked in the up position. d. Pillows are stacked on the bedside table.
Traditional abstracts are single-paragraph summaries of the key features of a study
A) True B) False
A patient, age 71, has benign prostatic hypertrophy. He is recovering from a transurethral prostatic resection. The physician orders removal of the indwelling catheter 2 days after the TURP procedure
The patient should be instructed that at first he might experience a. an intolerance to acidic fluids. b. normal voiding patterns. c. dribbling of urine. d. no urine output for 6-8 hours.
A breastfeeding mother reports that one of her nipples is cracked and sore. She is concerned about developing infection in her breast
Which instruction should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Express breast milk and rub it into your nipples after feeding is completed.". 2. "Purchase some evening primrose oil and treat your nipples with it twice each day.". 3. "Avoid feeding on that breast until the nipple heals.". 4. "You can use water-soluble lanolin on your nipple to sooth and heal it.". 5. "Coat your nipples with petroleum jelly prior to feedings.".