HESI - Medical Surgical Practice Exam

The nurse is assessing a client's laboratory values following administration of chemotherapy. Which lab value leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)? A. Serum PTT of 10 seconds B. Serum calcium of 5 mg/dl C. Oxygen saturation of 90% D. Hemoglobin of 10 g/dl - CORRECT ANSWERS-B. Serum calcium of 5 mg/dl. TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit? A. Lower left quadrant pain and a low-grade fever B. Severe pain at McBurney's point and nausea. C. Abdominal pain and intermittent tenesmus D. Exacerbations of severe diarrhea - CORRECT ANSWERS-A. Lower left quadrant pain and a low-grade fever. Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for diverticula, and the inflammation of diverticula causes a low-grade fever. During CPR, when attempting to ventilate a cli