ATI Oncology
A nurse anticipates that a client who is receiving antineoplastic medications may manifest what side effects? a. gingival hyperplasia b. hirsutism c. aplastic anemia d. weight gain - answer-Aplastic Anemia: it is a sign of bone marrow suppression, which is a common side effect of chemotherapeutic agents. Aplastic anemia results in pancytopenia, a decrease in white blood cells, red blood cells, and platelet count. A nurse is caring for a client who has just begun chemo for acute lymphoma. The plan of care indicates that signs of tumor lysis syndrome should be part of the nursing assessment. What asssessment finding is consistent with tumor lysis syndrome? a. polyuria b. muscle weakness c. flank pain d. hypotension - answer-Flank Pain: Tumor lysis syndrome is caused by the sudden, rapid death of cells, particularly cancer cells in clients with leukemia or lymphoma. lab results will show high potassium, uric acid, and phosphorous levels and low calcium levels. progression of the syndrome may cause acute kidney failure, cardiac arrhythmias, seizures, loss of muscle control, and death. flank pain is a symptom of tumor lysis syndrome secondary to the strain placed on the kidneys to excrete large amounts of intracellular metabolites.
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