The primary mechanism in the development of tumor lysis syndrome is
a. destruction of platelets by lymphocytic antibodies.
b. destruction of malignant cells through radiation or chemotherapy.
c. formation of heparin antibodies.
d. damage to the endothelium.
B
The primary mechanism involved in the development of tumor lysis syndrome is the destruction of massive numbers of malignant cells, either by chemotherapy or radiation. This mass destruction results in the release of large amounts of potassium, phosphorus, and nucleic acids, leading to severe metabolic disturbances such as hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia.
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In the provision of nursing care, it is most important to perform which of the following actions?
A) Administration of prescribed medications B) Implementation of physician's orders C) Evaluation of patient's responses D) Coordination of care with the healthcare team
The nurse is developing a program focusing on breast cancer and secondary prevention. Which topic should the nurse include?
A. Education on the prevention of breast cancer. B. Techniques for performing self-breast examination. C. Types of mastectomy that are available. D. Chemotherapy and radiation treatments.
The greatest negative outcome resulting from a nurse's fear of a mentally ill patient is that the:
a. Nurse will reinforce negative stereotyping of the mentally ill. b. Patient will experience increased bias against the nursing staff. c. Public's fearfulness of the mentally ill will continue to be exaggerated. d. Therapeutic alliance between the nurse and patient will not develop effectively.
In a volume-control administration set, the nurse usually mixes medication with:
A. 10 to 30 ml of solution B. 50 to 100 ml of solution C. 100 to 500 ml of solution D. 500 to 1000 ml of solution