A nurse is caring for a client with nephrotic syndrome who is prescribed diuretics. What should the nurse monitor closely while the client is on diuretic therapy?
Serum potassium levels
Blood glucose levels
Serum calcium levels
Blood pressure readings
The Correct Answer is A
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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Related Questions
Correct Answer is C
Explanation
A. Incorrect. Hematuria (blood in the urinE. and dysuria (painful urination) are not characteristic manifestations of nephrotic syndrome. Instead, they may indicate other kidney conditions or infections.
B. Incorrect. While clients with nephrotic syndrome may experience increased urine output (polyuriA. and nighttime urination (nocturiA. due to fluid imbalances, these are not the primary clinical manifestations.
C. Correct. Frothy, foamy urine output is a classic sign of nephrotic syndrome due to the presence of excessive protein (proteinuriA. in the urine. This foamy appearance is caused by the high levels of protein, mainly albumin, in the urine.
D. Incorrect. Suprapubic tenderness and urgency are not typical manifestations of nephrotic syndrome and may indicate other urinary tract or bladder issues.
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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