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."

Answer and Explanation

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.

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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.

A. Elevated blood pressure and fluid overload. B. Muscle weakness and fatigue. C. Hyperactivity and restlessness. D. Pallor and cold extremities.

Correct Answer is B

Explanation

A. Incorrect. Elevated blood pressure and fluid overload are more indicative of fluid retention and hypertension in nephrotic syndrome, not hypoalbuminemia.

B. Correct. Hypoalbuminemia, a common feature of nephrotic syndrome, results from the loss of albumin (a protein) in the urine. Low albumin levels can lead to muscle weakness and fatigue due to decreased oncotic pressure in the blood vessels, resulting in fluid shifting from the blood vessels to the interstitial spaces.

C. Incorrect. Hyperactivity and restlessness are not typical manifestations of hypoalbuminemia and nephrotic syndrome.

D. Incorrect. Pallor and cold extremities are not directly related to hypoalbuminemia and are not specific to nephrotic syndrome.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 assessing a client with nephrotic syndrome for signs of hypoalbuminemia. What clinical manifestation should the nurse expect to observe?

Correct Answer is B

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 reviewing a client's laboratory results and notes a decreased serum albumin level. What is the significance of decreased serum albumin in diagnosing nephrotic syndrome?

A client with nephrotic syndrome is at an increased risk of infection. What measures should the nurse recommend to the client to reduce the risk of infection?

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

A client with nephrotic syndrome reports experiencing generalized edema. What is the underlying pathophysiological reason for the client's edema?

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

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