A client with suspected nephrotic syndrome is scheduled for a renal biopsy. What is the primary purpose of a renal biopsy in diagnosing nephrotic syndrome?

To assess kidney function and glomerular filtration rate.

To determine the client's response to diuretic therapy.

To evaluate the extent of renal inflammation and infection.

To identify the specific histopathological changes in the kidney.

Answer and Explanation

The Correct Answer is D

A. Incorrect. While a renal biopsy may provide information about kidney function and glomerular filtration rate, its primary purpose in diagnosing nephrotic syndrome is to identify the specific histopathological changes in the kidney, which can help confirm the diagnosis and guide treatment decisions.

B. Incorrect. The response to diuretic therapy can be monitored through other means, such as assessing urine output and fluid balance. A renal biopsy is not performed primarily to evaluate the response to diuretics.

C. Incorrect. Renal biopsy is not typically used to evaluate the extent of renal inflammation and infection. Other imaging or laboratory tests are more suitable for assessing renal inflammation and infection.

D. Correct. A renal biopsy is the definitive diagnostic procedure for nephrotic syndrome. It allows the pathologist to examine a small tissue sample from the kidney and identify the specific histopathological changes, such as glomerular changes, that confirm the diagnosis.

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Correct Answer is B

Explanation

A. Correct. Monitoring blood pressure regularly is essential for clients with nephrotic syndrome, as they are at risk of hypertension due to fluid retention.

B. Incorrect. Restricting fluid intake is not typically recommended for clients with nephrotic syndrome, as it may lead to dehydration and worsen edema due to hypoalbuminemia.

C. Correct. Clients with nephrotic syndrome are at increased risk of infections due to immunosuppression from protein loss in the urine. Reporting any signs of infection is crucial to ensure timely intervention.

D. Correct. Daily weight monitoring is essential for clients with nephrotic syndrome to assess for fluid retention. Sudden weight changes can indicate worsening edema and fluid overload.

A. "Take the medication on an empty stomach to enhance absorption." B. "Expect to see an immediate improvement in proteinuria after starting the medication." C. "Corticosteroids can increase your risk of infection, so avoid crowds and sick individuals." D. "Consume a diet high in potassium to offset potential electrolyte imbalances."

Correct Answer is C

Explanation

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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A client with suspected nephrotic syndrome is scheduled for a renal biopsy. What is the primary purpose of a renal biopsy in diagnosing nephrotic syndrome?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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?

Correct Answer is C

Explanation

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