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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Incorrect. While a renal biopsy may provide information about kidney function and glomerular filtration rate, its primary purpose in diagnosing nephrotic syndrome is to identify the specific histopathological changes in the kidney, which can help confirm the diagnosis and guide treatment decisions.

B. Incorrect. The response to diuretic therapy can be monitored through other means, such as assessing urine output and fluid balance. A renal biopsy is not performed primarily to evaluate the response to diuretics.

C. Incorrect. Renal biopsy is not typically used to evaluate the extent of renal inflammation and infection. Other imaging or laboratory tests are more suitable for assessing renal inflammation and infection.

D. Correct. A renal biopsy is the definitive diagnostic procedure for nephrotic syndrome. It allows the pathologist to examine a small tissue sample from the kidney and identify the specific histopathological changes, such as glomerular changes, that confirm the diagnosis.

A. "I will monitor my blood pressure regularly at home." B. "I will restrict my fluid intake to prevent edema." C. "I will report any signs of infection to my healthcare provider." D. "I will weigh myself daily and keep track of any sudden weight changes."

Correct Answer is B

Explanation

A. Correct. Monitoring blood pressure regularly is essential for clients with nephrotic syndrome, as they are at risk of hypertension due to fluid retention.

B. Incorrect. Restricting fluid intake is not typically recommended for clients with nephrotic syndrome, as it may lead to dehydration and worsen edema due to hypoalbuminemia.

C. Correct. Clients with nephrotic syndrome are at increased risk of infections due to immunosuppression from protein loss in the urine. Reporting any signs of infection is crucial to ensure timely intervention.

D. Correct. Daily weight monitoring is essential for clients with nephrotic syndrome to assess for fluid retention. Sudden weight changes can indicate worsening edema and fluid overload.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected nephrotic syndrome is scheduled for a renal biopsy. What is the primary purpose of a renal biopsy in diagnosing nephrotic syndrome?

Correct Answer is D

Explanation

A nurse is educating a client with nephrotic syndrome about self-management strategies. Which statement by the client indicates the need for further teaching?

Correct Answer is B

Explanation

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