A pediatric client is receiving chemotherapy for acute lymphocytic leukemia. While providing care for this client, which clinical manifestations would indicate tumor lysis syndrome?
Select all that apply.
A) Thrombocytopenia
B) Altered levels of consciousness
C) Respiratory distress
D) Oliguria
E) Upper-extremity edema
Answer: B, D
Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be oliguria and altered levels of consciousness. Thrombocytopenia occurs with a hematological emergency. Space-occupying lesions can cause respiratory distress and upper-extremity edema.
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