A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion
The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. What should the nurse tell the family is the next step in treatment?
a.
Whole blood transfusion
b.
A bone marrow biopsy
c.
Immediate radiation treatment
d.
Dialysis
ANS: D
A nursing intervention for TLS is to prepare the patient and family for dialysis if other measures are not effective.
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A patient is admitted to the critical care unit with VS: BP 220/110, P 108, RR 24, T 103F, and O2 sat 94% on oxygen 2L/NC. The patient is responsive and denies chest pain. The physician has ordered a workup for CAD
The nurse expects the admitting diagnosis to be which of the following? a. Hypotension c. Stage 1 hypertension b. Prehypertension d. Stage 2 hypertension
Which of these statements about school-age children with type 1 diabetes is TRUE?
a. They should be encouraged to learn to give their own injections. b. They should be monitored closely by caregivers and teachers at all times. c. They should learn the signs of hyperglycemia and when to test their blood sugar. d. They should adhere to the strict diet requirements of their disease to reduce insulin dependence.
Standard precautions protect patients from picking up pathogens from the workers.
Answer the following statement true (T) or false (F)
The physician saw something in the first set of lab values that caused him to look further for ?+-thalassemia minor. Hgb, hct were slightly down while MCV and MCH were down to a greater degree. These lab values with two other values triggered his suspicions. What two other labs values would have done this and why?