NR.210.663 (JHU) QNS & ANS ACUTE CARE III 2026/2027 (21pages)

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.