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International College of Health Sciences *

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MISC

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Nursing

Date

Nov 24, 2024

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jpeg

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1

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Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/38273187 26 of 35 p. 1308 A pediatric patient undergoing treatment for cancer has laboratory results showing low calcium and high potassium. Which complication from cancer therapy does the nurse suspect? () Hyperleukocytosis () Tumor lysis syndrome () Spinal cord compression () Superior vena cava syndrome Rationale Acute tumor lysis syndrome has hallmark metabolic abnormalities, including hyperuricemia, hypocalcemia, hyperphosphatemia, and hyperkalemia, that are the direct result of rapid release of intracellular contents during the lysis of malignant cells. Hyperleukocytosis is defined as a peripheral white blood cell count greater than 100,000/mm?. Children often experience respiratory distress and cyanosis. Different malignancies can invade or impinge on the spinal cord, causing acute symptoms of cord compression, including back pain, sensation change, extremity weakness, loss of bowel and bladder function, and respiratory insufficiency. Children with superior vena cava syndrome are initially seen with cyanosis of the face, neck, and upper chest; facial and upper extremity edema; and a distended neck and chest veins. They may be anxious and have dyspnea, wheezing, or a frequent cough from airway obstruction. p. 1308 Which is the most likely complication of bone marrow transplantation in the pediatric patient with cancer? () The recipient’s immune system rejects the donated bone marrow. Downloaded by Peace Ogwuche (peaceogwuchel23@ gmail.com) 4/29/2023, 3:15 AM
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