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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Incorrect. Abdominal distension and discomfort are not typical manifestations of a urinary tract infection, even in the presence of proteinuria.

B. Correct. Nephrotic syndrome often results in hypoalbuminemia due to significant protein loss in the urine. Hypoalbuminemia leads to decreased oncotic pressure in the blood vessels, causing fluid to leak into the peritoneal cavity and resulting in abdominal distension and discomfort, known as ascites.

C. Incorrect. Hyperkalemia may occur in chronic kidney disease, including nephrotic syndrome, but it is not directly related to abdominal distension and discomfort.

D. Incorrect. Renal vein thrombosis is a complication of nephrotic syndrome but is not typically associated with acute abdominal distension and discomfort.

A. Administer diuretics to manage edema and fluid overload. B. Restrict fluid intake to prevent further fluid retention. C. Provide a high-protein diet to replenish albumin levels. D. Monitor blood glucose levels to assess for diabetes mellitus.

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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A client with nephrotic syndrome is prescribed corticosteroids. What potential side effects should the nurse include in the client's education about corticosteroid therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with nephrotic syndrome who develops abdominal distension and discomfort. What complication should the nurse suspect based on these manifestations?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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