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?
Assess for signs of infection and initiate appropriate treatment.
Monitor blood glucose levels to detect potential hyperglycemia.
Provide dietary education to increase protein intake.
Administer diuretics to manage edema.
The Correct Answer is A
A. Correct. Nephrotic syndrome is characterized by increased protein loss in the urine, leading to hypoalbuminemia and a weakened immune system. Clients with nephrotic syndrome are at a higher risk of infection, so the priority nursing intervention is to assess for signs of infection and initiate appropriate treatment promptly.
B. Incorrect. While monitoring blood glucose levels is essential in some conditions, it is not the priority for a client with nephrotic syndrome.
C. Incorrect. Dietary education may be necessary, but increasing protein intake is not appropriate for clients with nephrotic syndrome due to the increased protein loss in the urine.
D. Incorrect. Diuretics may be used to manage edema in nephrotic syndrome, but the priority intervention is to assess for infection, as it poses a more immediate threat to the client's health.
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Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is A
Explanation
A. Correct. Diuretics can lead to potassium loss, potentially causing hypokalemia. Monitoring serum potassium levels is essential to prevent complications related to potassium imbalances.
B. Incorrect. Diuretics may affect blood glucose levels indirectly, but their primary impact is not related to glucose control.
C. Incorrect. Diuretics do not directly impact calcium levels
in nephrotic syndrome.
D. Incorrect. While monitoring blood pressure is important in nephrotic syndrome, it is not the primary focus when clients are on diuretic therapy.
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