After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the diet therapy for this condition?

"An increased intake of vitamin C is necessary."

"A decreased intake of carbohydrates will be required."

"I must decrease my intake of fat."

"I will increase my intake of protein."

Answer and Explanation

The Correct Answer is D

Rationale:
A. Increasing vitamin C is not specifically indicated for nephrotic syndrome; it does not address the protein loss associated with the condition.
B. Carbohydrate intake does not need to be reduced; carbohydrates are often used to provide adequate calories when protein losses are high.
C. While excessive fat intake should be avoided, fat restriction is not the primary dietary focus unless hyperlipidemia is severe.
D. In nephrotic syndrome with normal glomerular filtration rate (GFR), protein is lost through urine (proteinuria). Therefore, the client should increase dietary protein intake to replace urinary protein losses and maintain normal serum protein levels.

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Correct Answer is D

Explanation

Rationale:
A. The kidneys do not transport red blood cells; the circulatory system does. This option confuses renal function with circulatory processes.
B. Red blood cells do not produce erythropoietin; rather, the kidneys produce erythropoietin to stimulate red blood cell formation in the bone marrow.
C. While vitamin D metabolism and bone density are affected by kidney disease, these are not the primary cause of anemia in renal insufficiency.
D. The kidneys produce erythropoietin, a hormone that stimulates red blood cell production in the bone marrow. In renal insufficiency, reduced erythropoietin secretion leads to anemia due to decreased red blood cell formation.

A. The leukocyte count B. The platelet count C. The hematocrit (Hct) D. The erythrocyte sedimentation rate (ESR)

Correct Answer is C

Explanation

Rationale:
A. The leukocyte count measures white blood cells and is not affected by epoetin alfa therapy, which specifically targets red blood cell production.
B. The platelet count measures clotting ability and is unrelated to the therapeutic goal of epoetin alfa, which stimulates erythropoiesis, not thrombopoiesis.
C. The hematocrit (Hct) is the most accurate indicator of a therapeutic response to epoetin alfa. This medication promotes red blood cell production in the bone marrow, increasing the hematocrit and hemoglobin levels, which improves oxygen-carrying capacity and reduces anemia symptoms in clients with chronic renal disease.
D. The erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and does not reflect the effectiveness of epoetin alfa therapy.

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After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the diet therapy for this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a client with renal insufficiency and a low red blood cell count. The client asks, "is my anemia related to my kidney problem?" How would the nurse respond?

Correct Answer is D

Explanation

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

Correct Answer is C

Explanation

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After teaching a client with hypertension secondary to renal disease, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the diet therapy for this condition?

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A nurse evaluates a client with acute glomerulonephritis (GN). Which assessment finding would the nurse recognize as a positive response to the prescribed treatment?

The nurse administers epoetin alfa to a client who has chronic kidney disease (CKD). Which laboratory test value would the nurse monitor to determine this drug's effectiveness?