A nurse is assessing a client with nephrotic syndrome and notes frothy, foamy urine output. What is the rationale for this characteristic urine appearance?
Increased glucose levels in the urine due to insulin resistance.
Presence of blood in the urine from glomerular damage.
Excessive protein excretion in the urine.
Elevated creatinine levels indicating kidney dysfunction.
The Correct Answer is C
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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