The nurse caring for a child with acute lymphocytic leukemia is aware that once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which can lead to which of the following problems?
a. tumor lysis syndrome c. altered mental states
b. metastasis to the lungs d. gout
A
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A Correct. For a child with ALL, once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which can lead to tumor lysis syndrome.
B Incorrect. For a child with ALL, once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which does not lead to metastasis to the lungs.
C Incorrect. For a child with ALL, once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which does not lead to altered mental states.
D Incorrect. For a child with ALL, once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which does not lead to gout.
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