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. 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.
Correct Answer is A
Explanation
A. Correct. ACE inhibitors are commonly prescribed in nephrotic syndrome to reduce proteinuria by dilating blood vessels and decreasing pressure in the glomerulus. This helps preserve kidney function and slow the progression of kidney damage.
B. Incorrect. ACE inhibitors are not primarily used to manage blood glucose levels in diabetes, although they may have some impact on blood pressure control in clients with both diabetes and nephrotic syndrome.
C. Incorrect. ACE inhibitors do not directly impact calcium absorption or bone health in nephrotic syndrome.
D. Incorrect. ACE inhibitors do not specifically increase potassium excretion. In fact, they may lead to potassium retention, so clients may need to be cautious about potassium intake while on ACE inhibitors.
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