Patient Scenario An older adult patient with acute leukemia…

Patient Scenario An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 88% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) Which findings are most concerning for sepsis? (select all that apply)

An older adult patient with acute leukemia is admitted to th…

An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 93% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) What is the priority hypothesis based on the patient’s condition?

A patient receiving chemotherapy for lung cancer presents wi…

A patient receiving chemotherapy for lung cancer presents with a sodium level of 120 mEq/L, reports extreme fatigue and weakness, and has decreased urine output over the past 24 hours. Which assessment should the nurse prioritize to evaluate for a critical complication of syndrome of inappropriate antidiuretic hormone (SIADH)?

An older adult patient with acute leukemia is admitted to th…

An older adult patient with acute leukemia is admitted to the oncology unit. They are currently receiving chemotherapy. The patient reports feeling weak and “feverish.” Vital signs: Temp: 101.8°F (38.8°C) HR: 112 bpm BP: 88/54 mmHg RR: 24/min O2 sat: 88% on room air Assessment findings: Chills and fatigue Altered mental status: slightly confused; orient to person and time Decreased urine output Central venous catheter in place Labs: WBC: 1,200/mm³ (reference range: 4500-11000 cells/mm³) Lactate: 3.8 mmol/L (reference range: 0.5-2.0 mmol/L) Creatinine: 1.9* mg/dL (reference range: 0.6-1.3 mg/dL) Which interventions should the nurse implement immediately?  Identify each as indicated or contraindicated. Obtain blood cultures [1] Initiate fluid resuscitation [2]  Begin antibiotics when cuture results are available [3] Apply supplemental oxygen [4] Administer prescribed broad-spectrum antibiotics [5]