After undergoing chemotherapy, a patient has excessive levels of uric acid in the blood. What are the implications for nursing, and what intervention should the nurse expect?
a. The hyperuricemia may cause liver damage; chemotherapy should be withdrawn until the hyperuricemia resolves.
b. The hyperuricemia can contribute to a high risk of thrombocytopenia; heparin should be administered to prevent thrombus.
c. The hyperuricemia may injure the kidneys; allopurinol (Zyloprim) should be ad-ministered.
d. The hyperuricemia will result in further immunosuppression; the patient should be prepared for dialysis.
C
Hyperuricemia is a greater concern, because it may injure the kidneys secondary to deposition of uric acid crystals in renal tubules. Allopurinol suppresses uric acid formation.
Hyperuricemia does not damage the liver, nor does it contribute to immunosuppression or thrombocytopenia.
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