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."

Answer and Explanation

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.

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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.

A. "Take the medication on an empty stomach to enhance absorption." B. "Expect to see an immediate improvement in proteinuria after starting the medication." C. "Corticosteroids can increase your risk of infection, so avoid crowds and sick individuals." D. "Consume a diet high in potassium to offset potential electrolyte imbalances."

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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A nurse is educating a client with nephrotic syndrome about self-management strategies. Which statement by the client indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with nephrotic syndrome who is experiencing skin breakdown due to edema. What should the nurse prioritize in the client's care?

Correct Answer is B

Explanation

A client with nephrotic syndrome is prescribed corticosteroids as part of the treatment plan. What should the nurse include in the client's education about corticosteroid therapy?

Correct Answer is C

Explanation

A nurse is caring for a client with nephrotic syndrome who presents with severe edema and hypoalbuminemia. What is the priority nursing intervention for this client?

A nurse is caring for a client with nephrotic syndrome who is experiencing hyperlipidemia. What is the rationale for elevated lipid levels in this client?

A client with nephrotic syndrome is at increased risk of developing thromboembolic events. What is the underlying pathophysiological reason for this increased risk?

A client with nephrotic syndrome is undergoing a blood test to assess serum lipid levels. What is the rationale for monitoring lipid levels in this client?

A nurse is educating a client with nephrotic syndrome about self-management strategies. Which statement by the client indicates the need for further teaching?

A nurse is planning discharge education for a client with nephrotic syndrome. What should be included in the client's dietary education?

A client with nephrotic syndrome is prescribed immunosuppressive medications. What is the rationale for using immunosuppressive drugs in the management of nephrotic syndrome?

A nurse is planning dietary interventions for a client with nephrotic syndrome. What dietary modification is essential to reduce edema in this client?