The nurse is caring for an adolescent client who is in the intensive care unit after a suicide attempt with barbiturate drugs and alcohol. the client is hypotensive with a mean arterial pressure (map) below 30 and a urine output that has decreased from 30 ml/hr to 2 ml/hr. serum creatinine and potassium are both elevated. the parents of the client notice the small amount of urine in the indwelling catheter drainage bag and ask why there is so little. what is the best response by the nurse

Describe one possible outcome if you do speak with the patient about her lab results.

In 2009, a flu pandemic was believed to have originated when viral transmission occurred from pig to human, thereby earning the designation, "swine flu." although pigs are thought to have been the breeding ground for the 2009 virus, sequences from bird, pig, and human viruses were all found within this newly identified virus. what is the most likely explanation of why this virus contained sequences from bird, pig, and human viruses? a) the virus was descended from a common ancestor of bird, pig, and human flu viruses. b) the infected individuals happened to be infected with all three virus types. c) related viruses can undergo genetic recombination if the rna genomes mix and match during viral assembly. d) the human was likely infected with various bacterial strains that contained all three rna viruses.

A62-year-old man is being treated for an acute myocardial infarction. he originally came to the ed with substernal chest pain and diaphoresis. given his risk factors of hypertension, diabetes, tobacco use, and family history, he is considered high risk. an ecg in the ed reveals a left-bundle branch pattern, and cardiac enzymes are elevated slightly. after a focused evaluation in the ed, the patient receives iv thrombolytics. although his bundle branch pattern never resolves, the patient is chest pain-free and haemodynamically stable after thrombolysis. two days later, however, the patient reports episodes of recurrent chest discomfort and shortness of breath overnight. in evaluating for potential myocardial reinfarction, which of the following is the most appropriate diagnostic test? - creatinine kinase- dynamic ecg changes- lactate dehydrogenase- myoglobin levels- troponin i level