A client with acute leukemia has an extremely high white count and is going to receive chemotherapy. The nurse should anticipate administering which agents to this client? (Select all that apply.)
A) Allopurinol (Zyloprim)
B) Increased IV fluids
C) Rasburicase (Elitek)
D) Urine acidifiers

Question

Quizplus · Accepted Answer

If the white blood cell count is high when chemotherapy is initiated, tumor lysis syndrome can occur. This is potentially fatal, leading to increased serum uric acid, phosphate, and potassium levels and decreased serum calcium levels, and can manifest with seizures and fatal dysrhythmias. Prevention is a priority and includes options a, b, and c, and urine alkalinizing agents.

A Client with Acute Leukemia Has an Extremely High White