A client with nephrotic syndrome is at increased risk of developing thromboembolic events. What is the underlying pathophysiological reason for this increased risk?

Elevated platelet count and clotting factors.

Decreased blood viscosity and enhanced blood flow.

Impaired liver function and reduced clotting factors.

Loss of anticoagulant proteins and hypercoagulability.

Answer and Explanation

The Correct Answer is D

A. Incorrect. Elevated platelet count and clotting factors are not characteristic of nephrotic syndrome. Clients with nephrotic syndrome tend to have normal platelet counts.

B. Incorrect. Decreased blood viscosity and enhanced blood flow would not directly lead to an increased risk of thromboembolic events in nephrotic syndrome.

C. Incorrect. While impaired liver function may impact clotting factors, it is not a common manifestation of nephrotic

syndrome.

D. Correct. Nephrotic syndrome is associated with a loss of anticoagulant proteins, particularly antithrombin III, in the urine. This loss of anticoagulant proteins contributes to a state of hypercoagulability, increasing the risk of thromboembolic events, such as deep vein thrombosis and pulmonary embolism.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Correct. Periorbital edema is a common manifestation of nephrotic syndrome, especially in the morning after fluid accumulation overnight. Elevated blood pressure and headache may accompany this edema, indicating fluid retention and hypertension, which are frequently associated with nephrotic syndrome.

B. Incorrect. Yellowish discoloration of the skin and sclera (jaundicE. is not a typical manifestation of nephrotic syndrome and is more indicative of liver dysfunction or bile flow obstruction.

C. Incorrect. Pain and tenderness over the lower back are not directly related to periorbital edema and may suggest a separate issue, such as musculoskeletal pain.

D. Incorrect. Shortness of breath and crackles in the lungs are not specific to nephrotic syndrome and may suggest other respiratory or cardiac issues.

A. "Take the medication on an empty stomach to enhance absorption." B. "Expect to see an immediate improvement in proteinuria after starting the medication." C. "Corticosteroids can increase your risk of infection, so avoid crowds and sick individuals." D. "Consume a diet high in potassium to offset potential electrolyte imbalances."

Correct Answer is C

Explanation

A. Incorrect. Corticosteroids should be taken with food to reduce the risk of gastrointestinal side effects.

B. Incorrect. While corticosteroids may improve proteinuria over time, it is unlikely to see an immediate improvement after starting the medication.

C. Correct. Corticosteroids can suppress the immune system and increase the risk of infection, so the client should avoid crowded places and contact with individuals who are sick to minimize the risk of infections.

D. Incorrect. Corticosteroids do not specifically affect potassium levels, so there is no need for a diet high in potassium to offset potential electrolyte imbalances.

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A client with nephrotic syndrome is at increased risk of developing thromboembolic events. What is the underlying pathophysiological reason for this increased risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with nephrotic syndrome presents with periorbital edema. Which additional assessment finding should the nurse anticipate?

Correct Answer is A

Explanation

A client with nephrotic syndrome is prescribed corticosteroids as part of the treatment plan. What should the nurse include in the client's education about corticosteroid therapy?

Correct Answer is C

Explanation

A nurse is reviewing a client's laboratory results and notes a decreased serum albumin level. What is the significance of decreased serum albumin in diagnosing nephrotic syndrome?

A nurse is caring for a client with nephrotic syndrome who develops abdominal distension and discomfort. What complication should the nurse suspect based on these manifestations?

A client with nephrotic syndrome is prescribed angiotensin-converting enzyme (ACE. inhibitors. What is the purpose of ACE inhibitors in managing nephrotic syndrome?

A client with nephrotic syndrome is experiencing hyperlipidemia. What is the rationale for elevated lipid levels in this client?

A client with nephrotic syndrome is at increased risk of developing thromboembolic events. What is the underlying pathophysiological reason for this increased risk?

A nurse is assessing a client with nephrotic syndrome for signs of hypoalbuminemia. What clinical manifestation should the nurse expect to observe?

A nurse is caring for a client with nephrotic syndrome who is experiencing skin breakdown due to edema. What should the nurse prioritize in the client's care?

A nurse is caring for a client with nephrotic syndrome who is prescribed diuretics. What should the nurse monitor closely while the client is on diuretic therapy?