A child has acute kidney injury following a serious motor vehicle ...

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A child has acute kidney injury following a serious motor vehicle crash. Which intervention takes priority?
 
  A.
  Administer IV fluids and blood products.
  B.
  Insert an indwelling urinary catheter.
  C.
  Monitor hourly urine output measurements.
  D.
  Place the child on a low-sodium diet.

Question 2

A child is in the emergency department following a car crash. Which finding noted by the nurse warrants immediate intervention?
 
  A.
  Complains I hurt all over.
  B.
  Grey-Turner's sign
  C.
  Increased WBCs
  D.
  Tachycardia

[Alyson.hiatt@yahoo.com]

Answer to Question 1

ANS: A
Hypovolemia, blood loss, and shock all can lead to prerenal kidney injury. The priority interventions include administering fluids and blood products if needed. An indwelling urinary catheter will be important for hourly urine output measurements, but this will not actively help the problem. A low-sodium diet may or may not be appropriate.

Answer to Question 2

ANS: B
Grey-Turner's sign is bruising in the flank area and can indicate a renal injury. The other signs would be expected after a traumatic event.