The nurse is monitoring for development of renal failure in a patient who sustained a moderate burn injury
Which laboratory results would be cause for concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. BUN of 40 mg/dL
2. Creatinine of 1.9 mg/dL
3. Total protein of 5.8 g/dL
4. Creatine kinase of 350 U/L
5. Urine specific gravity of 1.020
1,2
Rationale 1: This BUN is high and may indicate renal disorder.
Rationale 2: The creatinine is high and indicates renal dysfunction.
Rationale 3: This total protein is low, but is likely due to fluid shifts or poor nutrition rather than renal dysfunction.
Rationale 4: CK is a muscle enzyme and would be increased due to muscle injury. It is not associated with renal dysfunction.
Rationale 5: This is a normal specific gravity, so it does not indicate dysfunction.
You might also like to view...
The nurse is caring for pediatric clients on an oncology unit. The unit is experiencing a renovation, and the nurse manager is requesting suggestions for placement of the nurse's station with the goal of close pediatric client access
Which type of leadership style is the nurse manager employing? A) Political leadership style B) Democratic leadership style C) Laissez-faire leadership style D) Authoritarian leadership style
The nurse notes that a patient has developed a cough productive for mucoid sputum, is short of breath, has cyanotic hands, and has noisy, moist-sounding, rapid breathing. These symptoms indicate:
A) Pericarditis B) Heart failure C) Pulmonary edema D) Right ventricular hypertrophy
A nurse calls the newspaper and reports that circumstances surrounding several deaths in the local hospital are suspicious and that a cover-up is in action. The subsequent article identifies the nurse by name and the nurse is fired
Is the nurse protected under the whistleblower law? 1. No, the report should have been made in person, not by telephone. 2. Yes, since a death occurred, any action to expose the situation is appropriate. 3. Yes, the nurse's action is one that any reasonable and prudent citizen would take. 4. No, the allegations should have been made to the appropriate authorities.
Changes have been made to the organizational structure and facilities of a psychiatric unit in order to create an environment that is more therapeutic. Which of the following is the main goal of a therapeutic environment?
A) Encourage optimal daily functioning for patients. B) Encourage the development of patients' self-control. C) Encourage rapport between patients and staff. D) Encourage movement toward dependent living.