A client with nephrotic syndrome is prescribed corticosteroids. What potential side effects should the nurse include in the client's education about corticosteroid therapy?
"You may experience increased urine output and dehydration."
"Corticosteroids can cause increased appetite and weight gain."
"You may notice frequent bruising and prolonged bleeding."
"Corticosteroids can lead to low blood pressure and dizziness."
The Correct Answer is B
A. Incorrect. Increased urine output and dehydration are not common side effects of corticosteroid therapy. Instead, clients may experience fluid retention and edema due to the medication's effects.
B. Correct. Corticosteroids can cause increased appetite, leading to weight gain, which is a common side effect that clients should be aware of.
C. Incorrect. Frequent bruising and prolonged bleeding are not typical side effects of corticosteroids. Instead, clients on corticosteroid therapy may experience increased susceptibility to infections and impaired wound healing.
D. Incorrect. Corticosteroids are more likely to cause fluid retention and increased blood pressure, leading to potential hypertension, rather than low blood pressure and dizziness.
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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
A. Incorrect. Elevated platelet count and clotting factors are not characteristic of nephrotic syndrome. Clients with nephrotic syndrome tend to have normal platelet counts.
B. Incorrect. Decreased blood viscosity and enhanced blood flow would not directly lead to an increased risk of thromboembolic events in nephrotic syndrome.
C. Incorrect. While impaired liver function may impact clotting factors, it is not a common manifestation of nephrotic
syndrome.
D. Correct. Nephrotic syndrome is associated with a loss of anticoagulant proteins, particularly antithrombin III, in the urine. This loss of anticoagulant proteins contributes to a state of hypercoagulability, increasing the risk of thromboembolic events, such as deep vein thrombosis and pulmonary embolism.
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