A client with acute leukemia has an extremely high white count and is going to receive chemotherapy. The nurse should anticipate administering which agents to this client? (Select all that apply.)
a. Allopurinol (Zyloprim)
b. Increased IV fluids
c. Rasburicase (Elitek)
d. Urine acidifiers
A, B, C
If the white blood cell count is high when chemotherapy is initiated, tumor lysis syndrome can occur. This is potentially fatal, leading to increased serum uric acid, phosphate, and potassium levels and decreased serum calcium levels, and can manifest with seizures and fatal dysrhythmias. Prevention is a priority and includes options a, b, and c, and urine alkalinizing agents.
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Quantitative researchers focus on concrete concepts, whereas qualitative researchers study abstract constructs
A) True B) False
The nurse is caring for a patient with severe dementia. What nursing intervention best promotes orientation to time and space?
1. Provide good lighting, especially on stairs. 2. Acknowledge the patient's feelings. 3. Break instructions into short time frames. 4. Cover mirrors to decrease fear.
Mannitol (Osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure?
a. Intravenously, through a filter b. By rapid intravenous bolus c. By mouth in a single morning dose d. Through a gravity intravenous drip with standard tubing
Select from the list below the phases used in the Six Sigma process
a. Define b. Measure c. Verify d. Analyze e. Implement f. Control