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. For which of the following symptoms should the nurse monitor this child?
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
Rationale:
1. Thrombocytopenia and leukocytosis occur with a hematological emergency.
2. 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.
3. Respiratory distress and cyanosis would be associated with space-occupying lesions or a hematologic emergency.
4. Upper-extremity edema and neck vein distension are not priority concerns for this client.
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The diagnosis of preterm labor is confirmed by:
A. Effacement of the cervix B. Dilation of the cervix C. Sensation of contractions D. None of the above
The nurse inspects the perineum of a postpartal client using the REEDA scale. Put the following signs in the appropriate order according to this scale:
1. Discharge 2. Ecchymosis 3. Approximation 4. Redness 5. Edema
Deficiency of which nutrient during pregnancy can cause spina bifida in the unborn baby?
a. Folic acid b. Chromium c. Ascorbic acid d. Cholecalciferol
The public health nurse is conducting a screening of young adults for metabolic syndrome. When asked about the syndrome, which of the following responses should be made by the nurse?
a. Anyone who has low blood sugar, high cholesterol, and high blood pressure has this syndrome and is at risk for cardiac disease. b. This syndrome helps predict heart disease. Once it is diagnosed, the correct medication can be prescribed and heart disease avoided. c. This syndrome is a warning sign that the person could develop heart disease. When someone has metabolic syndrome, dietary and activity level changes are recommended. d. Anyone who has high cholesterol, high blood pressure, and high blood sugar has coronary artery disease. Once we make the diagnosis, we can begin to treat the disease.