The nurse is collecting data on a patient with a crushing injury to the lower extremities. Which serum creatine kinase (CK) result should the nurse review and report to the physician?
a. CK-MB
b. CK-MM
c. CK-BB
d. CK1
ANS: B
When muscle tissue is damaged, a number of serum enzymes are released into the bloodstream, including skeletal muscle creatine kinase (CK-MM [CK3]). A. C. D. These creatinine kinase tests measure muscle tissue damage for other body organs.
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To correctly administer nose drops, the nurse should:
a. insert dropper about 1/2 inch into the nostril and allow drops to remain at least 10 minutes b. insert dropper about 3/8 inch into the nostril and have client inhale as drops are administered c. have client blow nose and then insert dropper about 3/4 inch into the nostril d. have client blow nose; then insert dropper about 1/2 inch into the nostril and allow drops to remain at least 10 minutes
The AACN Standards for Acute and Critical Care Nursing Practice use what framework to guide critical care nursing practice?
a. Evidence-based practice b. Healthy work environment c. National Patient Safety Goals d. Nursing process
Identify the type of surgery a terminally ill patient will undergo if the purpose is removal of tissue to relieve pain
a. Procurement b. Ablative c. Palliative d. Diagnostic
The client with cirrhosis is given lactulose (Cephulac), which causes diarrhea. The client asks the nurse why it is necessary to take this medication. The nurse explains that the medication will:
A) prevent gastrointestinal bleeding. B) reduce serum ammonia levels. C) promote excess fluid loss. D) prevent constipation.