A nurse is planning discharge education for a client with nephrotic syndrome. What should be included in the client's dietary education?
"Increase your protein intake to improve kidney function."
"Limit potassium-rich foods to prevent hyperkalemia."
"Consume a low-sodium diet to manage fluid retention."
"Restrict fluid intake to reduce urinary output."
The Correct Answer is C
A. Incorrect. While protein intake may need to be adjusted in nephrotic syndrome, increasing protein intake is not typically recommended, as clients may already have significant protein loss in the urine.
B. Incorrect. Limiting potassium-rich foods is not a primary dietary concern in nephrotic syndrome. Clients should consume a balanced diet unless instructed otherwise by their healthcare provider.
C. Correct. A low-sodium diet is crucial in managing fluid retention and edema in clients with nephrotic syndrome. Sodium intake contributes to fluid retention, so reducing sodium intake helps decrease edema.
D. Incorrect. Restricting fluid intake is not typically recommended in nephrotic syndrome, as it may lead to dehydration and worsen fluid imbalances due to hypoalbuminemia.
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 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.
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