Children with non-Hodgkin lymphoma are at risk for complications resulting from tumor lysis syndrome (TLS).What findings would the nurse assess for to identify this complication early?

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In TLS,the tumor's intracellular contents are dumped into the child's extracellular fluid as the tumor cells are lysed in response to chemotherapy.Because of the large volume of these cells,their intracellular electrolytes overload the kidneys and,if not monitored,can cause kidney failure.Kidney failure would manifest in rising BUN and creatinine.This does not affect the liver so increased ALT and AST are not related.Changes in level of consciousness would not help identify this specific complication.An oxygen saturation of 93% is related to the lungs.

Children with Non-Hodgkin Lymphoma Are at Risk for Complications Resulting