A patient is being treated in the ICU for neurogenic shock secondary to a spinal cord injury. Despite aggressive interventions, the patient's mean arterial pressure (MAP) has fallen to 55 mm Hg

The nurse should gauge the onset of acute kidney injury by referring to what laboratory findings? Select all that apply.
A) Blood urea nitrogen (BUN) level
B) Urine specific gravity
C) Alkaline phosphatase level
D) Creatinine level
E) Serum albumin level


Ans: A, B, D
Feedback:
Acute kidney injury (AKI) is characterized by an increase in BUN and serum creatinine levels, fluid and electrolyte shifts, acid–base imbalances, and a loss of the renal–hormonal regulation of BP. Urine specific gravity is also affected. Alkaline phosphatase and albumin levels are related to hepatic function.

Nursing

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Which statement by the formal leader of a nursing unit reflects the personality required to energize the staff and promote creativity? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply. 1. "I would like to change the format we use for shift report, but I'm afraid it would upset staff members who have been here a long time." 2. "This is the decision I have made, and there is no room for discussion." 3. "I would like to thank everyone for your hard work and dedication while we have been short staffed." 4. "I am certain that our new assignment system is going to make the workload more equitable." 5. "I know this week has been rough. I feel a little like sandpaper myself."

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A 31-year-old woman with a congenital heart defect reports episodes of light-headedness and syncope, with occasional palpitations

A resting electrocardiogram reveals sinus bradycardia, and she is suspected to have sick sinus syndrome. Which of the following diagnostic methods is the best choice to investigate the suspicion? A) Signal-averaged ECG B) Exercise stress testing C) Electrophysiologic study D) Holter monitoring

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A nurse preceptor asks a new graduate to identify the risk factors for necrotizing enterocolitis. Which response by the student would indicate that further clarification is needed? (Select all that apply.)

a. Asphyxia b. Prematurity c. Polycythemia d. Hyperosmolar feedings e. Hypoviscosity f. Rapid increase in volume of feedings

Nursing

When giving hand and fingernail care, always use a nail file to clean under the nails before completing the procedure.

Answer the following statement true (T) or false (F)

Nursing