Common findings in tumor lysis syndrome (TLS) include (Select all that apply.)
a. increased calcium.
b. decreased potassium.
c. dysrhythmias.
d. elevated blood urea nitrogen (BUN) and creatine.
e. edema.
C, D, E
Common findings in TLS are as follows. Clinical: Weight gain, edema, diarrhea, lethargy, muscle cramps, nausea and vomiting, paresthesia, weakness, oliguria, uremia, seizures. Laboratory: Increased potassium, phosphorus, uric acid, BUN, and creatine; decreased calcium, creatinine clearance, pH, bicarbonate, and PaCO2 . Diagnostic: Positive Chvostek and Trousseau signs, hyperactive deep tendon reflexes, dysrhythmias, and ECG changes.
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The nurse is planning time to conduct an educational session with a client. Client education is important because it:
a. requires a physician's order before the nurse can implement a teaching plan. b. is a fiscally responsible intervention that encourages consumers to engage in healthy lifestyle practices. c. must be done in the outpatient setting because acute care nurses do not have time to teach. d. is the responsibility of the primary care physician.
A 10-year-old child is prescribed a one-time dose of oral furosemide (Lasix) 2 mg/kg. The child's weight is 75 lb. How many milligrams will you give the child?
What is the answer?
The nurse administers additional intravenous medication to a hospice client with uncontrollable pain. After receiving the additional medication, the client demonstrates apneic periods and bradycardia
Which of the following does this nurse's actions suggest? 1. Euthanasia 2. Assisted suicide 3. Double effect 4. Malpractice
The nurse is caring for a patient in traction. Which actions are appropriate when caring for this patient? (Select all that apply.)
a. Allow weights to hang freely in place. b. Use assistance to reposition the patient in bed. c. Hold weights up if the patient is shifting position in bed. d. Remove weights if the patient is being moved up in bed. e. Lighten weights for short periods if the patient reports pain.