A client with nephrotic syndrome is at an increased risk of infection. What measures should the nurse recommend to the client to reduce the risk of infection?
"Avoid close contact with family members to prevent transmission."
"Practice good hand hygiene, especially before meals and after using the bathroom."
"Avoid outdoor activities and crowded places to minimize exposure to pathogens."
"Increase physical activity to enhance the immune system's response."
The Correct Answer is B
A. Incorrect. While some clients may be at increased risk of certain infections, avoiding close contact with family members is not practical and not recommended in general.
B. Correct. Good hand hygiene is essential in reducing the risk of infections in clients with nephrotic syndrome, as they are immunocompromised due to protein loss in the urine. Regular handwashing with soap and water, especially before meals and after using the bathroom, can help prevent the spread of pathogens.
C. Incorrect. Avoiding outdoor activities and crowded places is not necessary for all clients with nephrotic syndrome and may negatively impact their quality of life.
D. Incorrect. While physical activity is generally beneficial for overall health, it is not directly related to enhancing the immune system's response in clients with nephrotic syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Diuretics are commonly used to manage edema in clients with nephrotic syndrome. They help increase urine output and reduce fluid retention, which can alleviate severe edema and fluid overload.
B. Incorrect. Restricting fluid intake is not typically recommended for clients with nephrotic syndrome, as it may lead to dehydration and worsen the hypoalbuminemia.
C. Incorrect. While adequate protein intake is essential, a high-protein diet may not be appropriate for clients with nephrotic syndrome due to increased protein loss in the urine.
D. Incorrect. Monitoring blood glucose levels is important, but it is not directly related to managing edema and hypoalbuminemia in nephrotic syndrome.
Correct Answer is B
Explanation
A. Incorrect. Abdominal distension and discomfort are not typical manifestations of a urinary tract infection, even in the presence of proteinuria.
B. Correct. Nephrotic syndrome often results in hypoalbuminemia due to significant protein loss in the urine. Hypoalbuminemia leads to decreased oncotic pressure in the blood vessels, causing fluid to leak into the peritoneal cavity and resulting in abdominal distension and discomfort, known as ascites.
C. Incorrect. Hyperkalemia may occur in chronic kidney disease, including nephrotic syndrome, but it is not directly related to abdominal distension and discomfort.
D. Incorrect. Renal vein thrombosis is a complication of nephrotic syndrome but is not typically associated with acute abdominal distension and discomfort.
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