A client with nephrotic syndrome is prescribed an angiotensin-converting enzyme (ACE. inhibitor. What should the nurse instruct the client to do while on this medication?
"Increase your potassium intake to prevent hypokalemia."
"Avoid taking the medication with food to enhance absorption."
"Monitor your blood glucose regularly to assess for diabetes."
"Change positions slowly to minimize dizziness and falls."
The Correct Answer is D
A. Incorrect. While some clients on ACE inhibitors may need to be cautious about potassium intake, this instruction is not universally applicable to all clients with nephrotic syndrome on this medication.
B. Incorrect. ACE inhibitors should be taken with food to reduce the risk of gastrointestinal side effects.
C. Incorrect. Monitoring blood glucose levels is important, but it is not directly related to ACE inhibitor use in nephrotic syndrome.
D. Correct. ACE inhibitors can cause a drop in blood pressure, leading to dizziness, especially when changing positions (orthostatic hypotension). Clients should be instructed to change positions slowly to prevent falls and injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Diuretics can lead to potassium loss, potentially causing hypokalemia. Monitoring serum potassium levels is essential to prevent complications related to potassium imbalances.
B. Incorrect. Diuretics may affect blood glucose levels indirectly, but their primary impact is not related to glucose control.
C. Incorrect. Diuretics do not directly impact calcium levels
in nephrotic syndrome.
D. Incorrect. While monitoring blood pressure is important in nephrotic syndrome, it is not the primary focus when clients are on diuretic therapy.
Correct Answer is C
Explanation
A. Incorrect. Frothy, foamy urine is not characteristic of increased glucose levels in the urine.
B. Incorrect. While blood in the urine may cause changes in urine color, it does not result in frothy, foamy appearance.
C. Correct. Nephrotic syndrome is characterized by increased protein excretion in the urine (proteinuriA. . The presence of protein in the urine can cause it to appear frothy and foamy.
D. Incorrect. Creatinine levels reflect kidney function, but they do not cause changes in urine appearance.
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