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.
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. While monitoring urine output and kidney function is important in nephrotic syndrome, it is not directly related to addressing skin breakdown.
B. Correct. Skin breakdown in clients with nephrotic syndrome can lead to an increased risk of infection. The nurse should assess the affected skin areas for signs of infection, such as redness, warmth, swelling, and drainage.
C. Incorrect. Providing pain medication may be necessary for managing discomfort, but the priority is to prevent infection and promote wound healing.
D. Incorrect. While reducing edema is important, it is not the immediate priority in managing skin breakdown and preventing infection.
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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