You are a home health nurse caring for an oncology patient discharged home 3 days ago after completing therapy. What would you assess the patient for?
A) Tumor lysis syndrome
B) Syndrome of inappropriate antiduretic hormone
C) Disseminated intravascular coagulation
D) Hypercalcemia
Ans: A
Feedback: Nursing care for tumor lysis syndrome: identify at-risk patients, including those in whom tumor lysis syndrome may develop up to 1 week after therapy has been completed. Institute essential preventive measures (eg, fluid hydration and allopurinol). Assess patients for signs and symptoms of electrolyte imbalances. Assess urine pH to confirm alkalization. Monitor serum electrolyte and uric acid levels for evidence of fluid volume overload secondary to aggressive hydration. Instruct patients to report symptoms indicating electrolyte disturbances. Options B, C, and D are incorrect.
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a. The nurse's thought processes do not have to vary. b. Plans of care are easier to use and do not need modification. c. The accuracy and effectiveness of thought processes must be considered. d. Reflective thought is not necessary since issues tend to be repetitive.
A client is taking large amounts of salicylates for the treatment of bursitis of the left shoulder. The client should be aware to report which symptoms of salicylism?
A) Ringing in the ears B) Diarrhea C) Dry hacking cough D) Dry eyes
What precaution is needed in managing the care of a patient with insomnia who also has liver disease?
a. Monitor carefully for increased side effects and adverse effects. b. Teach the patient that a higher dose is needed for effective action. c. Check the patient's electrolytes before administering the drug. d. Assess the patient's gag reflex every hour.
What medication is the most effective choice for treating pain associated with sickle cell crisis in a newly admitted 5-year-old child?
a. Morphine c. Ibuprofen b. Acetaminophen d. Midazolam