After chemotherapy has begun for a child with acute leukemia, which of the following interventions to prevent acute tumor lysis syndrome would the nurse perform?
Oxygenation
Pain management
Hydration
Corticosteroids
The Correct Answer is C
Rationale:
A. Oxygenation: While maintaining adequate oxygen is important for overall care, it does not directly prevent acute tumor lysis syndrome (TLS), which is caused by the rapid breakdown of malignant cells and release of intracellular contents.
B. Pain management: Managing discomfort is necessary for patient well-being, but it does not address the metabolic imbalances (hyperkalemia, hyperuricemia, hyperphosphatemia, hypocalcemia) that occur in TLS.
C. Hydration: Adequate IV hydration increases urine output, helps flush out excess potassium and uric acid, and reduces the risk of uric acid crystal precipitation in the kidneys.
D. Corticosteroids: While steroids may be part of leukemia treatment protocols, they are not the primary intervention to prevent TLS and may even contribute to rapid tumor breakdown if used in high doses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "I understand that my baby will be given multiple IV medications. Some of these medications might include opioids for pain management and antibiotics to protect her from infection.": Pain control and infection prevention are essential after open heart surgery.
B. "I understand that I will need to be careful when picking up my baby, I will need to pick her up by the head and bottom to protect her sternum.": Sternal precautions are critical to prevent strain on the healing sternum.
C. "I understand that it is important my baby continues to do tummy time once a day so her motor development does not suffer while in the hospital.": Tummy time after recent sternotomy can place pressure on the chest incision and stress the healing sternum, increasing risk of complications. It should be delayed until cleared by the surgical team.
D. "I understand that we will be in the hospital for a couple of weeks for treatment and monitoring post-op and then we will need close follow up with cardiology and the surgery team.": Post-op recovery often requires extended hospitalization and long-term follow-up to monitor cardiac function and surgical healing.
Correct Answer is B
Explanation
Rationale:
A. Offer a complex carbohydrate snack: Complex carbohydrates take longer to digest and raise blood glucose more slowly. In early hypoglycemia, immediate action with simple carbohydrates is preferred to quickly raise blood glucose.
B. Give 10 to 15 grams of a simple carbohydrate: Simple carbohydrates, such as glucose tablets or juice, provide rapid absorption and quick elevation of blood glucose, which is essential in treating mild to moderate hypoglycemia promptly to prevent progression.
C. Administer glucagon intramuscularly: Glucagon is reserved for severe hypoglycemia when the patient is unconscious or unable to swallow. Since the child is coherent and able to communicate, oral glucose administration is the first-line treatment.
D. Administer a sliding-scale dose of insulin: Insulin lowers blood glucose and would worsen hypoglycemia. It is contraindicated when the blood sugar is low and the patient shows symptoms of hypoglycemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.