Tumor Lysis Syndrome and Oncologic Emergencies · NCLEX Exam

When a patient with TLS has serum potassium of 6.8 mEq/L and peaked T-waves on ECG, what treatment would the nurse anticipate?

  1. Intravenous calcium gluconate
  2. Oral magnesium oxide
  3. Intravenous sodium bicarbonate only
  4. Oral phosphate binder alone
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Correct answer: Intravenous calcium gluconate

Elevated potassium in TLS can cause cardiac arrhythmias, and administering intravenous calcium gluconate can stabilize cardiac membranes.

Difficulty: Hard Question 4 of 20

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