A nurse is discussing the consequences of hypoalbuminemia with a client who has nephrotic syndrome. Which of the following complications is directly related to decreased serum albumin levels?
Hyperlipidemia
Edema formation
Hypertension
Hematuria
The Correct Answer is B
A) Incorrect. Hyperlipidemia in nephrotic syndrome results from increased hepatic synthesis of lipoproteins and is not directly related to decreased serum albumin levels.
B) Correct. Hypoalbuminemia reduces the colloid osmotic pressure in the blood vessels, causing fluid to leak into the interstitial spaces, leading to edema formation, a hallmark of nephrotic syndrome.
C) Incorrect. Hypertension may occur in nephrotic syndrome due to sodium and water retention, but it is not directly related to decreased serum albumin levels.
D) Incorrect. Hematuria (blood in the urine) is not a direct consequence of hypoalbuminemia but may be present in some cases of nephrotic syndrome due to underlying glomerular damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
A) Correct. Immunosuppressive medications are prescribed in nephrotic syndrome to reduce inflammation in the kidneys and prevent further damage, including kidney scarring. They help slow the progression of the disease and preserve kidney function.
B) Incorrect. Immunosuppressive medications are not primarily used to address fluid overload or improve urinary output in nephrotic syndrome.
C) Incorrect. While some immunosuppressive medications may have an impact on blood glucose levels, they are not typically used to manage diabetes in nephrotic syndrome.
D) Incorrect. Immunosuppressive medications do not directly alleviate pain and discomfort associated with edema in nephrotic syndrome. Other interventions, such as diuretics, are used for managing edema.
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