hard · NCLEX-RN Pharmacological and Parenteral Therapies

A nurse is caring for a client 48 hours after their first dose of a checkpoint inhibitor. The client presents with jaundice and an ALT of 450 U/L.

Which nursing action is the priority?

  1. Administer an antiemetic and encourage the client to eat more protein, for this client.
  2. Encourage the client to avoid acetaminophen and reassess in one week.
  3. Document the jaundice as an expected outcome of 'Tumor Lysis Syndrome.'.
  4. Withhold all further doses and prepare to administer high-dose corticosteroids.

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