The child is receiving chemotherapy for acute lymphocytic leukemia (ALL). Which assessment data should the nurse immediately report to the healthcare provider due to a metabolic emergency?
1. Thrombocytopenia
2. Leukocytosis
3. Oliguria
4. Edema
3
Explanation:
1. Thrombocytopenia is a clinical manifestation associated with a hematologic, not metabolic, emergency.
2. Leukocytosis is a clinical manifestation associated with a hematologic, not metabolic, emergency.
3. Tumor lysis causes a metabolic emergency caused by an electrolyte imbalance. Clinical manifestations associated with this include oliguria and altered levels of consciousness.
4. Edema is not indicative of a metabolic emergency.
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