A 9-year-old boy with newly diagnosed T-cell ALL presents on day 5 of induction therapy with worsening fatigue, abdominal pain, and decreased urine output. Vitals: HR148, BP 92/54, RR 28. Physical exam shows dry mucous membranes and diffuse abdominal tenderness. Labs show: K 6.2 Phos 7.0 Ca 6.5 Uric Acid 11 Creatinine 1.9 (0.4 baseline) LDH elevated EKG: peaked T waves Which of the following is the most appropriate immediate next step in management?
Blog
Post-op day 2 after a posterior fossa tumor resection, a chi…
Post-op day 2 after a posterior fossa tumor resection, a child has rising urine output, serum Na 151, and specific gravity 1.002. Which lab findings best supports the diagnosis of diabetes insipidus?
The height of NBA players is approximately normal with a mea…
The height of NBA players is approximately normal with a mean of 79 inches (6’7”) and a standard deviation of 3.5 inches. Use StatCrunch to find the probability that the average height of 8 randomly chosen NBA draft picks is less than 77 inches?
A nurse is caring for a client who has benign prostatic hype…
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). What statements by the client demonstrates the need for further education?
A client who has had abdominal surgery complains of feeling…
A client who has had abdominal surgery complains of feeling as though “something gave way” in the incision site. The nurse removes the dressing and notes the presence of a loop of bowel protruding through the incision. Which intervention should the nurse take? (Select all that apply)
After receiving change-of-shift report on a cardiac step dow…
After receiving change-of-shift report on a cardiac step down unit, which client should the nurse assess first?
The nurse is caring for a client with a sodium level of 125…
The nurse is caring for a client with a sodium level of 125 mEq/L. Which of the following cues would the nurse associate with this level?
You are educating a fellow nurse on the mechanism of action…
You are educating a fellow nurse on the mechanism of action of Imipenem/Cilastatin. The nurse correctly teaches her coworker on the function of Cilastatin when she states:
The nurse is providing education to a client recently diagno…
The nurse is providing education to a client recently diagnosed with Multiple Sclerosis. What is the most important aspect to include in the teaching plan about managing fatigue?
A young boy has just been diagnosed with Duchenne’s muscular…
A young boy has just been diagnosed with Duchenne’s muscular dystrophy. What intervention would not be included in the plan of care?