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

To reduce proteinuria and preserve kidney function.

To decrease blood glucose levels and manage diabetes.

To improve calcium absorption and bone health.

To increase potassium excretion and prevent hyperkalemia.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is C

Explanation

A. Incorrect. While protein intake may need to be adjusted in nephrotic syndrome, increasing protein intake is not typically recommended, as clients may already have significant protein loss in the urine.

B. Incorrect. Limiting potassium-rich foods is not a primary dietary concern in nephrotic syndrome. Clients should consume a balanced diet unless instructed otherwise by their healthcare provider.

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

D. Incorrect. Restricting fluid intake is not typically recommended in nephrotic syndrome, as it may lead to dehydration and worsen fluid imbalances due to hypoalbuminemia.

A. "Take the medication on an empty stomach for better 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 prescribed angiotensin-converting enzyme (ACE. inhibitors. What is the purpose of ACE inhibitors in managing nephrotic syndrome?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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