The nurse is caring for a patient with crush injuries to the lower extremities. For which
complication will the nurse monitor?
A. Bradycardia
B. Hypotension
C. Acute kidney injury
D. Spinal nerve injury - ANSWER C. Acute Kidney Injury
Crush injuries release myoglobin from the muscle places the patient at risk for
rhabdomyolysis and acute kidney injury.
Patient states that he was jogging close to the edge of a hillside, and that he tripped and
fell down the hill. There are no openings in the skin. A pulse cannot be obtained by
touch to the right foot, which is pale and cool to palpation. The patient rates his pain as
an "8" on a 0-to-10 scale.
What is the priority nursing action at this time?
A. Prepare for reduction.
B. Administer pain medication.
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