For a client to be diagnosed with Anti-Glomerular Basement Membrane disease, the nurse realizes that which of the following characteristics must be present? (Select all that apply.)

1. Anti–glomerular basement membrane (GBM) antibodies
2. Sinus infection
3. Pulmonary hemorrhage
4. Proliferative glomerulonephritis
5. Increased heart rate
6. Rapidly dropping blood pressure


1, 3, 4
Anti-glomerular basement membrane disease must include the three characteristics of proliferative glomerulonephritis, pulmonary hemorrhage, and the presence of anti-GBM antibodies. Sinus infection is an assessment finding of Wegener's granulomatosis. Increased heart rate and rapidly dropping blood pressure are not characteristics of this disorder.

Nursing

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The nurse wants to assess consciousness, agitation, anxiety, sleep, and ventilatory synchrony in a client with a traumatic brain injury. Which scale should the nurse use for this assessment?

1. Ramsay Sedation 2. Riker Sedation-Agitation 3. AACN Sedation Assessment 4. Richmond Agitation-Sedation

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The client asks the nurse, "How can I know how much 3 ounces of meat really is?" Which of the following is correct?

A. It is the size of your fist. B. It is the size of a matchbox. C. It is the size of a deck of cards. D. It is the size of a paperback book.

Nursing

A nursing student observes an experienced nurse providing teaching for a client in the mental health unit. The student later asks the nurse why the nurse provided the information to the client

The nurse responds that providing client teaching is essential to the role of the nurse in any setting because: A) It is required by law. B) The nurse must document that teaching has been completed. C) It is in the nurse's scope of practice. D) Knowledge empowers people.

Nursing