H.J. is a 46-year-old man diagnosed with non-Hodgkin lymphoma (NHL) 4 months ago. He just finished
receiving his third of six chemotherapy courses 5 days ago.
Earlier today, he was seen at his medical oncologist's office with complaints of malaise, muscle weakness, and palpitations. He had splenomegaly on
examination. A computed tomography (CT) scan of the abdomen showed metastatic disease in the liver
and spleen. He is admitted to the hospital with progressive disease.
Interpret H.J.'s admitting BMP panel.
He has elevated levels of uric acid, potassium, phosphorus, and LDH and low levels of calcium.
You might also like to view...
A patient with an acute myocardial infarction is more likely to develop acute heart failure than a patient with hypertension
A) True B) False
A duodenal ulcer may occur 8 to 14 days after severe burns. Usually, the first symptom is bright red emesis. Which condition matches this description?
a. Curling's ulcer b. Paralytic ileus c. Hypoglycemia d. ICU psychosis syndrome
The physician orders the following mechanical ventilation settings for a patient who weighs 75 kg. The patient's spontaneous respiratory rate is 22 breaths/min
What arterial blood gas abnormality may occur if the patient continues to be tachypneic at these ventilator settings? Settings: Tidal volume: 600 mL (8 mL per kg) FiO2: 0.5 Respiratory rate: 14 breaths/min Mode assist/control Positive end-expiratory pressure: 10 cm H2O a. Metabolic acidosis b. Metabolic alkalosis c. Respiratory acidosis d. Respiratory alkalosis
A client is in the recovery room after surgical removal of nasal polyps. The nurse notices the client is swallowing frequently. The most appropriate action by the nurse is to
a. assess the client's mouth for blood. b. continue to monitor and assess the client. c. notify the physician immediately. d. turn the client on the left side.