The nurse is caring for a patient with an electrical injury. The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to:
a. hypervolemia from burn resuscitation.
b. increased incidence of ureteral stones.
c. nephrotoxic antibiotics for prevention of infection.
d. release of myoglobin from injured tissues.
D
Myoglobin is released during electrical injury and is a risk factor for rhabdomyolysis and acute kidney injury. Hypervolemia is not a cause of acute kidney injury. Ureteral stones and nephrotoxic antibiotics may cause acute kidney injury but is not associated with the electrical injury.
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