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 B

Explanation

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.

A. Administer diuretics to manage edema and fluid overload. B. Restrict fluid intake to prevent further fluid retention. C. Provide a high-protein diet to replenish albumin levels. D. Monitor blood glucose levels to assess for diabetes mellitus.

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.

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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 nephrotic syndrome is at an increased risk of infection. What measures should the nurse recommend to the client to reduce the risk of infection?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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