Which pathophysiologic events contribute to renal failure associated with tumor lysis syndrome?

Metabolic acidosis.

Elevated white blood cell count.

Crystallization of uric acid in the renal tubules.

Hypocalcemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Metabolic acidosis can occur in renal failure but is not directly linked to tumor lysis syndrome.
Choice B rationale
Elevated white blood cell count is not a primary contributor to renal failure in tumor lysis syndrome.
Choice C rationale
Crystallization of uric acid in the renal tubules can obstruct urine flow and cause acute renal failure, which is a direct pathophysiologic event in tumor lysis syndrome.
Choice D rationale
Hypocalcemia is a consequence of tumor lysis syndrome but does not directly cause renal failure.

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Correct Answer is C

Explanation

Choice A rationale
Providing a low-carbohydrate diet is not appropriate for a client in Addisonian crisis. Addisonian crisis requires immediate treatment with corticosteroids, not dietary changes.
Choice B rationale
Weighing the client daily is important for monitoring fluid balance, but it is not the primary action during an Addisonian crisis. The priority is to correct the hormonal imbalance.
Choice C rationale
Administering oral corticosteroids is crucial for treating Addisonian crisis. It helps replace the deficient adrenal hormones and manage the crisis effectively.
Choice D rationale
Restricting fluid intake is not recommended during an Addisonian crisis. Clients in crisis may need fluid replacement to manage dehydration and hypotension.

A. Wear multiple layers of clothing. B. Drink warm fluids from a thermos. C. Wear gloves and earmuffs. D. Wear a loose-fitting hat.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
Wearing multiple layers of clothing helps to trap body heat, preventing hypothermia.
Choice B rationale
Drinking warm fluids from a thermos helps maintain body temperature by providing warmth.
Choice C rationale
Wearing gloves and earmuffs prevents heat loss from extremities, which is essential in preventing hypothermia.
Choice D rationale
Wearing a loose-fitting hat prevents heat loss from the head, which is a significant source of body heat loss.

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Which pathophysiologic events contribute to renal failure associated with tumor lysis syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis. The client is lethargic. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Explanation

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