A client is hospitalized with Goodpasture's syndrome. Which intervention by the nurse takes priority?
a. Monitor urine output and renal function tests.
b. Teach the client to manage peritoneal di-alysis.
c. Administer antibiotics strictly on time.
d. Have separate IV access for immune glo-bulin (IVIG) administration.
A
The main cause of death in clients with Goodpasture's syndrome is renal failure. The nurse must monitor renal function meticulously. Some, but not all, clients need dialysis and IVIG infusions. Antibiotics are not used in the management of this condition.
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A client is not certain whether she and her family should participate in a genetic screening plan
She asks the nurse why the X-linked recessive disorder that has been noted in some of her family members is expressed in males more frequently than in females. What is the nurse's best re-sponse? a. "The disease tends to show up in males because they don't have a second X chromosome to balance expression of the gene." b. "One X chromosome of a pair is always inactive in females. This inactivity effec-tively negates the effects of the gene." c. "Females are known to have more effec-tive DNA repair mechanisms than males, thus negating the damage caused by the recessive gene." d. "Expression of genes from the male's Y chromosome does not occur in females, so they are essentially immune to the effects of the gene."
What is the priority nursing diagnosis for the client with an uncomplicated rib fracture?
A. Ineffective Breathing Pattern B. Impaired Gas Exchange C. Activity Intolerance D. Acute Pain
The nurse prepares the male client for surgery and the client states that he does not want the surgery. Which intervention does the nurse implement next?
1. The nurse documents the client's statement. 2. The nurse says, "You don't really mean that.". 3. The nurse says, "You've changed your mind.". 4. The nurse notifies surgeon and anesthesiologist.
What is the rationale behind administering calcium channel blockers to patients with angina?
a. They decrease heart rate. b. They dilate blood vessels. c. They increase cardiac contractility. d. They promote fluid excretion.