A patient is admitted to the hospital after being found on the floor at home. It appears that the patient had a seizure and may have been in the floor for 10 to 12 hours before being discovered
Which assessment findings would be critical for the nurse to report? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Urine is dark.
2. Low CK levels
3. Potassium level of 4.8 mEq/L
4. Complaints of new-onset muscle pain
5. Complaints of extreme hunger
1,3,4
Rationale 1: Dark-colored urine, along with the history of being immobile, raise suspicion of rhabdomyolysis.
Rationale 2: The nurse would report high CK levels.
Rationale 3: Hyperkalemia is a complication associated with rhabdomyolysis.
Rationale 4: Complaints of muscle pain are associated with rhabdomyolysis. New-onset pain, given this patient's history, should be reported.
Rationale 5: Hunger is not associated with any apparent risk of pathology.
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Provide some examples ethical leadership
What will be an ideal response?