Which urine specific gravity, and corresponding pH, should the ...

[serike]

Which urine specific gravity, and corresponding pH, should the nurse include in a goal statement for a pediatric client receiving chemotherapy in the treatment of cancer?
 
  1. Specific gravity 1.030 and pH 7.5
  2. Specific gravity 1.005 and pH 6
  3. Specific gravity 1.030 and pH 6
  4. Specific gravity 1.005 and pH 7.5

Question 2

A child diagnosed with cancer is prescribed chemotherapy. Recent laboratory data show a low white blood cell (WBC) count. Which prescription should the nurse anticipate based on the current data?
 
  1. Epoetin alfa (Epogen)
  2. Ondansetron (Zofran)
  3. Oprelvekin (Neumega)
  4. Filgrastim (Neupogen)

[macagnavarro]

Answer to Question 1

4
Explanation:
1. A specific gravity higher than 1.010 can mean fluid intake is not high enough.
2. A pH of less than 7 means acidosis.
3. A specific gravity higher than 1.010 can mean fluid intake is not high enough, and a pH of less than 7 means acidosis.
4. Because the breakdown of malignant cells releases intracellular components into the blood and electrolyte imbalance causes metabolic acidosis, the patient should remain well hydrated, with the urine specific gravity at less than 1.010 and the pH at 7.0 to 7.5.

Answer to Question 2

4
Explanation:
1. Epoetin alfa (human recombinant erythropoietin) stimulates red blood cell (RBC) production.
2. Ondansetron (Zofran) is an antiemetic.
3. Oprelvekin (Neumega) increases platelets.
4. Filgrastim (Neupogen) increases production of neutrophils, a specific WBC, by the bone marrow.