The parents bring their 4-year-old son to the emergency department. The child is receiving chemotherapy for acute lymphoblastic leukemia
The parents report that the child has become lethargic and has had significant episodes of vomiting and diarrhea. The nurse suspects the child may be experiencing tumor lysis syndrome based on which of the following? Select all answers that apply. A) Hyperkalemia
B) Hypophosphatemia
C) Polyuria
D) Hypocalcemia
E) Hyperuricemia
A, D, E
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Tumor lysis syndrome is characterized by hyperuricemia, hyperkalemia, hyperphosphatemia, decreased or absent urine output, and hypocalcemia.
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Which significant need should be included in instructions to a patient scheduled for a thyroid scan (123I)?
a. Provision of a special container to collect urine for the next 24 hours b. Wear a protective apron to shield him or her from radiation for the next 24 hours c. Request that visitors keep a distance of at least 6 feet away for the next 24 hours d. Wash their hands with soap and water af-ter every voiding for the next 24 hours
When admitting a patient who has diabetes and poorly controlled glucose levels, the nurse obtains the information shown in the accompanying figure about the patient's use of complementary and alternative therapies
Which information is most important to report to the health care provider? a. Takes zinc when cold symptoms occur b. Practices relaxation therapies frequently c. Takes multivitamin tablet every morning d. Uses glucosamine and ginkgo biloba daily
The nurse is working with a client with a moderate hearing impairment. To promote communica-tion with this client, the nurse should:
1. Use a louder tone of voice than normal 2. Use visual aids such as the hands and eyes when speaking 3. Approach a client quietly from behind before speaking 4. Select a public area to have a conversation
The nurse is working with a group of abused women, trying to assist them in developing a sense of self so that they will avoid blaming themselves for the abuse. What is the goal that this intervention best relates to?
1. Promoting healthy behaviors. 2. Developing and maintaining healthy relationships and living conditions. 3. Developing adequate coping strategies. 4. Promoting healthy pregnancy outcomes.