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. While monitoring urine output and kidney function is important in nephrotic syndrome, it is not directly related to addressing skin breakdown.
B. Correct. Skin breakdown in clients with nephrotic syndrome can lead to an increased risk of infection. The nurse should assess the affected skin areas for signs of infection, such as redness, warmth, swelling, and drainage.
C. Incorrect. Providing pain medication may be necessary for managing discomfort, but the priority is to prevent infection and promote wound healing.
D. Incorrect. While reducing edema is important, it is not the immediate priority in managing skin breakdown and preventing infection.
Correct Answer is C
Explanation
A. Incorrect. Monitoring lipid levels is not primarily aimed at identifying liver dysfunction in clients with nephrotic syndrome.
B. Incorrect. While nephrotic syndrome can lead to secondary diabetes mellitus in some cases, monitoring lipid levels is not a direct indicator of diabetes.
C. Correct. Nephrotic syndrome is associated with increased levels of lipids, including cholesterol and triglycerides, in the blood (hyperlipidemiA. . Monitoring lipid levels helps detect this common complication of nephrotic syndrome and informs treatment decisions.
D. Incorrect. Monitoring lipid levels is not directly related to evaluating electrolyte imbalances in clients with nephrotic syndrome. Electrolyte imbalances are typically assessed through separate blood tests.
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