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?

It indicates fluid overload and hypertension.

It confirms the presence of proteinuria.

It supports the diagnosis of renal vein thrombosis.

It suggests significant protein loss in the urine.

Answer and Explanation

The Correct Answer is D

A. Incorrect. Decreased serum albumin levels may contribute to fluid overload and hypertension in nephrotic syndrome, but they are not the primary indicators of these complications.

B. Incorrect. A decreased serum albumin level alone does not confirm the presence of proteinuria, which requires additional tests, such as a 24-hour urine collection for protein quantification.

C. Incorrect. Decreased serum albumin levels are not directly related to the presence of renal vein thrombosis, although nephrotic syndrome can increase the risk of thromboembolic events.

D. Correct. In nephrotic syndrome, the glomerular damage results in significant proteinuria, leading to decreased serum albumin levels. The loss of albumin in the urine contributes to hypoalbuminemia, a hallmark feature of nephrotic syndrome.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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. "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.

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

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

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

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

A client with nephrotic syndrome is prescribed an angiotensin-converting enzyme (ACE. inhibitor. What should the nurse instruct the client to do while on this medication?

A nurse is assessing a client with suspected nephrotic syndrome. Which finding should the nurse expect to observe?

A nurse is caring for a client with nephrotic syndrome who develops abdominal distension and discomfort. What complication should the nurse suspect based on these manifestations?

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?