A client with nephrotic syndrome is prescribed corticosteroids as part of the treatment plan. What should the nurse include in the client's education about corticosteroid therapy?

"Take the medication on an empty stomach to enhance absorption."

"Expect to see an immediate improvement in proteinuria after starting the medication."

"Corticosteroids can increase your risk of infection, so avoid crowds and sick individuals."

"Consume a diet high in potassium to offset potential electrolyte imbalances."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is C

Explanation

A. Incorrect. Frothy, foamy urine is not characteristic of increased glucose levels in the urine.

B. Incorrect. While blood in the urine may cause changes in urine color, it does not result in frothy, foamy appearance.

C. Correct. Nephrotic syndrome is characterized by increased protein excretion in the urine (proteinuriA. . The presence of protein in the urine can cause it to appear frothy and foamy.

D. Incorrect. Creatinine levels reflect kidney function, but they do not cause changes in urine appearance.

A. Elevated blood pressure and headache. B. Yellowish discoloration of the skin and sclera. C. Pain and tenderness over the lower back. D. Shortness of breath and crackles in the lungs.

Correct Answer is A

Explanation

A. Correct. Periorbital edema is a common manifestation of nephrotic syndrome, especially in the morning after fluid accumulation overnight. Elevated blood pressure and headache may accompany this edema, indicating fluid retention and hypertension, which are frequently associated with nephrotic syndrome.

B. Incorrect. Yellowish discoloration of the skin and sclera (jaundicE. is not a typical manifestation of nephrotic syndrome and is more indicative of liver dysfunction or bile flow obstruction.

C. Incorrect. Pain and tenderness over the lower back are not directly related to periorbital edema and may suggest a separate issue, such as musculoskeletal pain.

D. Incorrect. Shortness of breath and crackles in the lungs are not specific to nephrotic syndrome and may suggest other respiratory or cardiac issues.

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A client with nephrotic syndrome is prescribed corticosteroids as part of the treatment plan. What should the nurse include in the client's education about corticosteroid therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with nephrotic syndrome and notes frothy, foamy urine output. What is the rationale for this characteristic urine appearance?

Correct Answer is C

Explanation

A client with nephrotic syndrome presents with periorbital edema. Which additional assessment finding should the nurse anticipate?

Correct Answer is A

Explanation

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

A nurse is caring for a client diagnosed with nephrotic syndrome who presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. What is the priority nursing intervention for this client?

A client with nephrotic syndrome is at increased risk of developing thromboembolic events. What is the underlying pathophysiological reason for this increased risk?

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

A client with nephrotic syndrome is experiencing hyperlipidemia. What is the rationale for elevated lipid levels in this client?

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

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

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