A patient develops muscle cramps, weakness, nausea and a cardiac rhythm change 24 hours after chemotherapy for a bulky lymphoma. Which complication should the nurse suspect?

Correct answer: A. Tumour lysis syndrome

  • A. Tumour lysis syndrome
  • B. Dumping syndrome
  • C. Superior vena cava syndrome
  • D. Disseminated intravascular coagulation

Explanation

Rapid tumour breakdown can release potassium, phosphate and uric acid, causing electrolyte disturbances, renal injury and dysrhythmias. This is tumour lysis syndrome and requires urgent assessment of electrolytes, renal function and cardiac status.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Oncology Nursing

Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.

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