Practice Question
The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia. Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?
Answer Choices:
Correct Answer:
Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm.
Rationale:
🟢 TLS Pathophysiology: Tumor Lysis Syndrome (TLS) occurs when large numbers of malignant cells lyse, releasing potassium, phosphate, and nucleic acids into the bloodstream.
🟢 Flank pain: Results from uric acid crystal deposition in the renal tubules, leading to acute kidney injury.
🟢 Hyperuricemia: Excess purines are metabolized into uric acid, causing renal impairment and metabolic disturbances.
🟢 Cardiac arrhythmias: Triggered by hyperkalemia due to massive intracellular potassium release.
🟢 Priority intervention: Aggressive IV hydration, allopurinol or rasburicase, and continuous cardiac monitoring.
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This question is from Med surg Exam-Montgomery College which contains 38 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4