A client with nephrotic syndrome is experiencing severe edema and hypoalbuminemia. Which nursing intervention is essential to manage the client's edema?

Encourage the client to restrict fluid intake.

Elevate the client's legs when sitting or lying down.

Provide a low-sodium diet to decrease fluid retention.

Monitor the client's blood glucose levels regularly.

Answer and Explanation

The Correct Answer is C

A. Incorrect. Restricting fluid intake may not be appropriate for clients with nephrotic syndrome, as they may already have reduced fluid intake due to decreased glomerular filtration.

B. Incorrect. Elevating the client's legs can help reduce edema, but a low-sodium diet is a more direct and essential intervention for managing fluid retention in nephrotic syndrome.

C. Correct. A low-sodium diet is crucial in managing edema in nephrotic syndrome. Sodium intake can lead to fluid retention, and reducing sodium intake helps decrease edema.

D. Incorrect. Monitoring blood glucose levels is important for clients with diabetes, but it is not directly related to managing edema in nephrotic syndrome.

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Correct Answer is B

Explanation

A. Incorrect. Increased urine output and dehydration are not common side effects of corticosteroid therapy. Instead, clients may experience fluid retention and edema due to the medication's effects.

B. Correct. Corticosteroids can cause increased appetite, leading to weight gain, which is a common side effect that clients should be aware of.

C. Incorrect. Frequent bruising and prolonged bleeding are not typical side effects of corticosteroids. Instead, clients on corticosteroid therapy may experience increased susceptibility to infections and impaired wound healing.

D. Incorrect. Corticosteroids are more likely to cause fluid retention and increased blood pressure, leading to potential hypertension, rather than low blood pressure and dizziness.

A. To reduce proteinuria and preserve kidney function. B. To decrease blood glucose levels and manage diabetes. C. To improve calcium absorption and bone health. D. To increase potassium excretion and prevent hyperkalemia.

Correct Answer is A

Explanation

A. Correct. ACE inhibitors are commonly prescribed in nephrotic syndrome to reduce proteinuria by dilating blood vessels and decreasing pressure in the glomerulus. This helps preserve kidney function and slow the progression of kidney damage.

B. Incorrect. ACE inhibitors are not primarily used to manage blood glucose levels in diabetes, although they may have some impact on blood pressure control in clients with both diabetes and nephrotic syndrome.

C. Incorrect. ACE inhibitors do not directly impact calcium absorption or bone health in nephrotic syndrome.

D. Incorrect. ACE inhibitors do not specifically increase potassium excretion. In fact, they may lead to potassium retention, so clients may need to be cautious about potassium intake while on ACE inhibitors.

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A client with nephrotic syndrome is experiencing severe edema and hypoalbuminemia. Which nursing intervention is essential to manage the client's edema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with nephrotic syndrome is prescribed corticosteroids. What potential side effects should the nurse include in the client's education about corticosteroid therapy?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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