Ahealthy 26-year-old woman sustained a significant crush injury to her right upper extremity while on the job at a local construction site. she was brought to the emergency department and subsequently underwent pinning and reconstructive surgery and received perioperative broad-spectrum antibiotics. her blood pressure remained normal throughout her hospital course. on the second hospital day, a medical consultant noted a marked increase in her creatinine, from 0.8 to 1.9 mg/dl. her urine output dropped to 20 ml/h. serum creatine kinase was ordered and reported as 3400 units/l.
questions
what are the primary causes of this patient’s acute kidney injury? how should her kidney injury be categorized (as prerenal, intrarenal, or postrenal)?
how should she be treated?

Mr. will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. he has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. the surgeon ordered oxycodone 5 mg every 4 hours prn for moderate pain and oxycodone 10 mg every 4 hours prn for severe pain. a. considering the patient's age, what medication administration considerations should the nurse incorporate into the pain management plan and why? b. what measures should the nurse provide the patient to prevent adverse effects of analgesic agents from occurring? c. what nonpharmacologic pain management methods should the nurse teach to mr. will to assist with pain management?