A nurse is educating a client with nephrotic syndrome about self-management strategies. Which statement by the client indicates the need for further teaching?
"I will monitor my blood pressure regularly at home."
"I will restrict my fluid intake to prevent edema."
"I will report any signs of infection to my healthcare provider."
"I will weigh myself daily and keep track of any sudden weight changes."
The Correct Answer is B
A. Correct. Monitoring blood pressure regularly is essential for clients with nephrotic syndrome, as they are at risk of hypertension due to fluid retention.
B. Incorrect. Restricting fluid intake is not typically recommended for clients with nephrotic syndrome, as it may lead to dehydration and worsen edema due to hypoalbuminemia.
C. Correct. Clients with nephrotic syndrome are at increased risk of infections due to immunosuppression from protein loss in the urine. Reporting any signs of infection is crucial to ensure timely intervention.
D. Correct. Daily weight monitoring is essential for clients with nephrotic syndrome to assess for fluid retention. Sudden weight changes can indicate worsening edema and fluid overload.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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 B
Explanation
A. Incorrect. While some clients may be at increased risk of certain infections, avoiding close contact with family members is not practical and not recommended in general.
B. Correct. Good hand hygiene is essential in reducing the risk of infections in clients with nephrotic syndrome, as they are immunocompromised due to protein loss in the urine. Regular handwashing with soap and water, especially before meals and after using the bathroom, can help prevent the spread of pathogens.
C. Incorrect. Avoiding outdoor activities and crowded places is not necessary for all clients with nephrotic syndrome and may negatively impact their quality of life.
D. Incorrect. While physical activity is generally beneficial for overall health, it is not directly related to enhancing the immune system's response in clients with nephrotic syndrome.
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