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A nurse preceptor and new nurse are caring for a 16-year-old patient following a crush...

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A nurse preceptor and new nurse are caring for a 16-year-old patient following a crush injury. The lab report is significant for a creatine kinase (CK) level of 150 U/L and the patient’s urine is dark yellow. Vital signs are:

    BP: 95/60

    HR: 115

    RR: 22

    Temp: 100.5°F (38.1°C)

Which of the following statements by the new nurse is most correct?

A.

"This is the result of an inflammatory response."

B.

"The clinical presentation looks like rhabdomyolysis."

C.

"This is indicative of decompensated septic shock."

D.

"The patient is demonstrating signs of MODS."

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