A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy. Which nursing action has the highest priority in responding to the symptoms of this syndrome?

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Neurological Assessment Questions Questions

Question 1 of 5

A client with cancer develops tumor lysis syndrome (TLS) following chemotherapy. Which nursing action has the highest priority in responding to the symptoms of this syndrome?

Correct Answer: B

Rationale: TLS causes electrolyte imbalances (e.g., hyperkalemia); IV fluids dilute and excrete these, preventing cardiac issues. Others are secondary. [Level: Analysis]

Question 2 of 5

The nurse admits a client who has a medical diagnosis of bacterial meningitis to the unit. Which intervention has the highest priority when providing care for the client?

Correct Answer: B

Rationale: Meningitis is life-threatening; antibiotics must start immediately to halt progression. A informs later treatment, others are secondary. [Level: Analysis]

Question 3 of 5

Which intervention should the nurse include in the plan of care for a patient with new right-sided homonymous hemianopsia after a stroke?

Correct Answer: C

Rationale: Right homonymous hemianopsia means left-field loss both eyes; placing objects on left compensates. A/B worsen, D is false. [Level: Application]

Question 4 of 5

The nurse is caring for a patient who has been experiencing stroke symptoms for 60 minutes. Which action can the nurse delegate to a licensed practical/vocational nurse (LPN/VN)?

Correct Answer: C

Rationale: LPNs can administer meds like insulin within scope. A/B require RN assessment, D is IV push (RN task). [Level: Application]

Question 5 of 5

Which rationale is accurate for why the use of video games would be included in the plan of care for a patient who sustained a stroke?

Correct Answer: D

Rationale: Video games enhance motor coordination post-stroke. C is partial, A/B are less direct. [Level: Comprehension]

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