A client with nephrotic syndrome is prescribed anticoagulant therapy. What is the rationale for administering anticoagulants in nephrotic syndrome?

To prevent clot formation in the urinary tract due to increased proteinuria.

To reduce inflammation and pain associated with kidney damage.

To decrease the risk of infection related to hypoalbuminemia.

To prevent blood clot formation in the glomerular capillaries.

Answer and Explanation

The Correct Answer is D

A. Incorrect. While increased proteinuria can increase the risk of clot formation in the urinary tract, anticoagulant therapy is not typically prescribed for this reason in nephrotic syndrome.

B. Incorrect. Anticoagulants are not primarily used to reduce inflammation and pain associated with kidney damage.

C. Incorrect. Anticoagulants do not directly impact the risk of infection related to hypoalbuminemia.

D. Correct. Nephrotic syndrome can cause damage to the glomerular capillaries, leading to clot formation. Anticoagulant therapy is prescribed to prevent clot formation in the kidneys and reduce the risk of complications such as renal vein thrombosis.

QUESTIONS

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Correct Answer is A

Explanation

A. Correct. Immunosuppressive medications are prescribed in nephrotic syndrome to reduce inflammation in the kidneys and prevent further damage, including kidney scarring. They help slow the progression of the disease and preserve kidney function.

B. Incorrect. Immunosuppressive medications are not primarily used to address fluid overload or improve urinary output in nephrotic syndrome.

C. Incorrect. While some immunosuppressive medications may have an impact on blood glucose levels, they are not typically used to manage diabetes in nephrotic syndrome.

D. Incorrect. Immunosuppressive medications do not directly alleviate pain and discomfort associated with edema in nephrotic syndrome. Other interventions, such as diuretics, are used for managing edema.

QUESTIONS

A. "Increase your protein intake to improve kidney function." B. "Limit potassium-rich foods to prevent hyperkalemia." C. "Consume a low-sodium diet to manage fluid retention." D. "Restrict fluid intake to reduce urinary output."

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.

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A client with nephrotic syndrome is prescribed anticoagulant therapy. What is the rationale for administering anticoagulants in nephrotic syndrome?

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Naxlex Comprehensive Predictor Exams

A client with nephrotic syndrome is prescribed immunosuppressive medications. What is the rationale for using immunosuppressive drugs in the management of nephrotic syndrome?

Correct Answer is A

Explanation

A nurse is planning discharge education for a client with nephrotic syndrome. What should be included in the client's dietary education?

Correct Answer is C

Explanation

A nurse is assessing a client with suspected nephrotic syndrome. Which finding should the nurse expect to observe?

A nurse is assisting with a 24-hour urine collection for a client suspected of having nephrotic syndrome. What does this test assess?

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

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?

A client with nephrotic syndrome is prescribed anticoagulant therapy. What is the rationale for administering anticoagulants in nephrotic syndrome?

A nurse is planning dietary interventions for a client with nephrotic syndrome. What dietary modification is essential to reduce edema in this client?