Which information about a patient with Goodpasture syndrome ...

[pepyto]

Which information about a patient with Goodpasture syndrome requires the most rapid action by the nurse?
 
  a. Blood urea nitrogen level is 70 mg/dL.
  b. Urine output over the last 2 hours is 30 mL.
  c. Audible crackles bilaterally over the posterior chest to the midscapular level.
  d. Elevated level of antiglomerular basement membrane (anti-GBM) antibodies.

Question 2

Which action will the nurse anticipate taking for an otherwise healthy 50-year-old who has just been diagnosed with Stage 1 renal cell carcinoma?
 
  a. Prepare patient for a renal biopsy.
  b. Provide preoperative teaching about nephrectomy.
  c. Teach the patient about chemotherapy medications.
  d. Schedule for a follow-up appointment in 3 months.

[heyhey123]

Answer to Question 1

ANS: C
Crackles heard to a high level indicate a need for rapid actions such as assessment of oxygen saturation, reporting the findings to the health care provider, initiating oxygen therapy, and dialysis. The other findings will also be reported, but are typical of Goodpasture syndrome and do not require immediate nursing action.

Answer to Question 2

ANS: B
The treatment of choice in patients with localized renal tumors who have no co-morbid conditions is partial or total nephrectomy. A renal biopsy will not be needed in a patient who has already been diagnosed with renal cancer. Chemotherapy is used for metastatic renal cancer. Because renal cell cancer frequently metastasizes, treatment will be started as soon as possible after the diagnosis.

[pepyto]

Excellent

[daiying98]

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