1700: A 66-year-old male was brought to the clinic by his family after reporting severe weakness, fatigue, and numbness around his mouth. He stated that the symptoms began approximately 24 hours after his initial chemotherapy and have progressively worsened. A verbal order was received for STAT collection of a complete metabolic panel and the establishment of peripheral vascular access. A 20-gauge peripheral intravenous line was successfully inserted in the left antecubital space.
The physician suspects the client is experiencing tumor lysis syndrome (TLS).
The nurse prepares care for this client.
➢ Complete the sentence below from the lists of options.
The nurse should obtain a prescription for [hydrocortisone. / lactulose. / 0.9% sodium chloride (normal saline) infusion.] br Additionally, the nurse should obtain a prescription for [naproxen / allopurinol / methotrexate] to treat the high serum uric acid levels. br The nurse should also monitor the client’s [serum creatinine / urine specific gravity / 24-hour urine output] for the development of acute kidney injury that may occur with TLS.
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