Author Question: The nurse is describing the phases of treatment to a child who was diagnosed with leukemia and his ... (Read 68 times)

crobinson2013 · **on:** Jun 27, 2018

The nurse is describing the phases of treatment to a child who was diagnosed with leukemia and his parents. The nurse explains the induction stage as which of the following?

A) Intense therapy to strengthen remission
B) Rapid promotion of complete remission
C) Elimination of all residual leukemic cells
D) Reduction of risk for central nervous system (CNS) disease

Question 2

The parents bring their 4-year-old son to the emergency department. The child is receiving chemotherapy for acute lymphoblastic leukemia.

The parents report that the child has become lethargic and has had significant episodes of vomiting and diarrhea. The nurse suspects the child may be experiencing tumor lysis syndrome based on which of the following? Select all answers that apply. A) Hyperkalemia
B) Hypophosphatemia
C) Polyuria
D) Hypocalcemia
E) Hyperuricemia

blakcmamba · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
Induction is done to rapidly produce a complete remission. Consolidation or intensification is the stage when remission is strengthened and leukemic cell burden is reduced. Maintenance attempts to eliminate all residual leukemic cells, and CNS prophylaxis is the stage that attempts to reduce the development of CNS disease.

Answer to Question 2

A, D, E
Feedback:
Tumor lysis syndrome is characterized by hyperuricemia, hyperkalemia, hyperphosphatemia, decreased or absent urine output, and hypocalcemia.