A Child with Non-Hodgkin Lymphoma Will Be Starting Chemotherapy

question 8

Multiple Choice

A child with non-Hodgkin lymphoma will be starting chemotherapy.What intervention is initiated before chemotherapy to prevent tumor lysis syndrome?

• A) Insertion of a central venous catheter
• B) Intravenous (IV) hydration containing sodium bicarbonate
• C) Placement of an externalized ventriculoperitoneal (VP) shunt
• D) Administration of pneumococcal and Haemophilus influenzae type B vaccines

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Definitions:

Buffer

A solution or substance that minimizes changes in pH by absorbing or releasing hydrogen ions.

Acidic

Describes substances with a pH less than 7, characterized by a higher concentration of hydrogen ions.

Neutralize

To render something harmless by applying an opposite force or effect, such as neutralizing an acid with a base.

Denature

The process by which a protein loses its three-dimensional structure due to external stress or compounds, affecting its functionality.