The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. The nurse will monitor this child for which of the following?
1. Thrombocytopenia and leukocytosis
2. Oliguria and altered levels of consciousness
3. Respiratory distress and cyanosis
4. Upper-extremity edema and neck-vein distension
2. Oliguria and altered levels of consciousness
Rationale:
Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be oliguria and altered levels of consciousness. Thrombocytopenia and leukocytosis occur with a hematological emergency. Space-occupying lesions can cause respiratory distress, cyanosis, upper-extremity edema, and neck-vein distension.
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Which statement made by the patient who attempted suicide best indicates that the crite-rion for discharge has been met?
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