Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/38273187 || Hypercalcemia || Hyperuricemia || Hyperphosphatemia Rationale The hallmark metabolic abnormalities of tumor lysis syndrome include hypocalcemia, hyperkalemia, hyperuricemia, and hyperphosphatemia. Hypokalemia and hypercalcemia are not among the hallmark metabolic abnormalities of tumor lysis syndrome. p. 1308 The nurse is caring for a child with leukemia. The child’s parents ask the nurse what caused the child to get cancer. Which is the nurse’s most appropriate response? () "That doesn’t matter. Let’s focus on how to get your child well." O "We don’t understand what causes childhood cancer, but God has his reasons.” () "Your child must have been exposed to a number of carcinogenic agents to get cancer at such a young age." "Unexplained genetic alterations cause cancerous cells to grow and multiply. There’s nothing you could have done to prevent it." Rationale The nurse’s most appropriate response is, "Unexplained genetic alterations cause cancerous cells to grow and multiply. There’s nothing you could have done to prevent it." This is accurate and therapeutic for the parents who may be blaming themselves. The nurse would not dismiss the parents’ question with the response, 32 of 35 Downloaded by Peace Ogwuche (peaceogwuchel23@ gmail.com) 4/29/2023, 3:15 AM