A client is admitted with superior vena cava syndrome. What action by the nurse is most appropriate?
a. Administer a dose of allopurinol (Aloprim).
b. Assess the client's serum potassium level.
c. Gently inquire about advance directives.
d. Prepare the client for emergency surgery.
ANS: C
Superior vena cava syndrome is often a late-stage manifestation. After the client is stabilized and comfortable, the nurse should initiate a conversation about advance directives. Allopurinol is used for tumor lysis syndrome. Potassium levels are important in tumor lysis syndrome, in which cell destruction leads to large quantities of potassium being released into the bloodstream. Surgery is rarely done for superior vena cava syndrome.
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