A 27-year-old woman arrives at the emergency department after being struck by lightning. After successful resuscitation, what laboratory findings might the nurse expect to be ordered?
A. Normal CBC, decreased serum creatinine and BUN levels
B. Elevated creatinine kinase and BUN levels, hyperkalemia
C. Normal creatinine kinase and BUN levels, hypokalemia
D. Normal CBC, normal creatinine level, elevated BUN level, hypokalemia
B
Creatinine kinase and potassium levels will be elevated after a lightning injury due to skeletal muscular damage. In severe cases, where there is a large amount of muscle damage, serum BUN and creatinine levels may be elevated due to myoglobinuria.
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Which situation is an example of organizational culture?
1. Every Friday the administrator allows everyone to wear crazy hats while on the units. 2. The cafeteria opens at 7:00 a.m. for breakfast, 11:00 a.m. for lunch, and 5:00 p.m. for dinner. 3. The administration has set the time clock to count staff late if clocking in 7 minutes after the shift starts. 4. ICU nurses know to take turns covering each other's clients to facilitate eating breakfast and lunch on the day shift.
The most life-threatening reaction to a medication is called a(n)
1. paradoxical reaction. 2. hypersensitivity reaction. 3. adverse reaction. 4. anaphylactic reaction.
A patient is prescribed entacapone (Comtan) 800 mg per day. The drug is available in 200-mg tablets. How many tablets does the nurse give?
a. 2 b. 4 c. 6 d. 8
A patient receiving a cephalosporin develops a secondary intestinal infection caused by Clostridium difficile. What is an appropriate treatment for this patient?
a. Adding an antibiotic, such as vancomycin (Vancocin), to the patient's regimen b. Discontinuing the cephalosporin and beginning metronidazole (Flagyl) c. Discontinuing all antibiotics and providing fluid replacement d. Increasing the dose of the cephalosporin and providing isolation measures