A patient has undergone an aggressive chemotherapeutic regimen to treat leukemia. The patient develops gastrointestinal upset, hypertension, and paresthesias. What syndrome is the patient developing?
A) Fröhlich's syndrome
B) Epidermal nevus syndrome
C) Irritable bowel syndrome
D) Tumor lysis syndrome
D
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With the treatment of leukemias and lymphomas, a serious, life-threatening adverse effect called tumor lysis syndrome may occur. This syndrome occurs when large numbers of cancer cells are killed or damaged, releasing their contents into the blood stream. The patient may have metabolic imbalances, which include gastrointestinal upset, hypertension, and paresthesias. Fröhlich's syndrome is noted in adolescent boys who have an increase in fat and atrophy of the genitals. Epidermal nevus syndrome is associated with multiple nevi. Irritable bowel syndrome is marked by abdominal pain and disturbances of evacuation.
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a. "If the WBCs are high, there already is an infection present." b. "The client is in a blast crisis and has too many WBCs." c. "There must be a mistake; the WBCs should be very low." d. "Those WBCs are abnormal and don't provide protection."
A patient with an anal fistula is admitted to the medical-surgical unit. In preparing a plan of care for this patient, the nurse incorporates the most common treatment for this condition, which focuses on:
A) Surgery B) Dietary modification C) Sitz baths D) Stool bulking agents
The school nurse knows that school-age children are developing metalinguistic awareness. Which of the following is an example of this skill?
A) The child enjoys reading books. B) The child enjoys conversations with peers. C) The child enjoys speaking on the phone. D) The child enjoys telling jokes.
After completing an assessment of a client, the nurse uses critical thinking and clinical reasoning to prioritize the client's problems. Which of the following would the nurse determine is the highest priority?
A) Severe bleeding from a wound B) History of asthma C) Diabetes D) Lack of family support