A child with acute lymphocytic leukemia (ALL) is getting chemotherapy for the first time and is at risk for tumor lysis syndrome (TLS). The nurse monitors for which risk associated with TLS?
a. Liver failure
b. Central nervous system (CNS) deficit
c. Kidney failure
d. Respiratory distress
C
In TLS, the tumor's intracellular contents are dumped into the child's extracellular fluid as the tumor cells are lysed in response to chemotherapy. Because of the large volume of these cells, their intracellular electrolytes overload the kidneys and, if not monitored, can cause kidney failure. TLS is related to intracellular electrolytes overloading the kidney as a response to the rapid lysis of tumor cells. This does not affect the liver, the CNS, or the lungs and cause respiratory distress.
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To avoid trauma to the mouth from hot food being served to a patient diagnosed with dementia, the nurse should:
a. Set hot food aside to allow it to cool slightly. b. Mix the hot food item with a cold food item. c. Touch the food to check the temperature before serving. d. Request a patient menu that includes sev-eral cold foods.
The nurse administering medications to clients first checks the MAR to compare information. What information is contained in the MAR? Select all answers that apply
A) Client name B) Client address C) Client birth date D) Medication name E) Administration route F) Scheduled times
In middle-aged men, erectile dysfunction is often the result of ________ such as bypass surgery, chemotherapy, and organ transplants.
Fill in the blank(s) with the appropriate word(s).
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease (COPD), which information should the nurse provide?
A) Place a small book or magazine on the abdomen and make it rise while inhaling deeply. B) Purse the lips while inhaling as deeply as possible and then exhale through the nose. C) Wrap a towel around the abdomen and push against the towel while forcefully exhaling. D) Place one hand on the chest, one hand the abdomen and make both hands move outward.