Eighteen hours after the injury, the uAP reports these vital signs for A.N. and states that the urine output
for the past hour was 20 mL.
What do you suspect is occurring, and why does this concern you?
What will be an ideal response?
The combination of decreased urine output, low blood pressure, and elevated heart rate indicates
insufficient fluid resuscitation and continued loss of intravascular fluids from the burn injury. If she
becomes hypovolemic, blood flow to the kidneys might decrease, causing renal ischemia and the
development of acute kidney injury. The slight elevation in temperature is normal because of a
hypermetabolic state.
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Which of the following are reasons the United States has a growing health disadvantage when compared with peer countries?
1. Uninsured segments of the population 2. High poverty rates 3. An efficient health-care delivery system 4. Lack of care coordination
When caring for clients with endocrine disorders, the nurse understands that the purpose of the parathyroid gland is to:
a. secrete hormones that facilitate the thyroid gland's control of metabolism. b. secrete an enzyme that increases the serum phosphate level. c. secrete a hormone that acts to increase the serum calcium level. d. secrete calcitonin to maintain serum calcium levels within defined limits.
While caring for a person with AD, you find yourself becoming frustrated and short-tempered. Which is correct?
a. The person has made you feel this way. b. The person deserves to be treated with dignity and respect. c. The person is responsible for agitated, ag-gressive, and wandering behaviors. d. The person should be restrained so that you can get your work done.
A child is admitted to the hospital after a routine lead screen reveals an elevated serum lead level. The prescriber has ordered edetate calcium disodium (calcium EDTA) as a chelating agent. During this drug treatment, the nurse will expect to:
a. collect a daily urine specimen. b. give the medication on an empty stomach. c. monitor the child's heart rate and blood pressure. d. request orders for liver function tests.