When caring for a client with nephrotic syndrome, which assessment is most important for the nurse to obtain?

Vital signs.

Bowel sounds.

Level of consciousness.

Daily weight.

Answer and Explanation

The Correct Answer is D

Choice A reason: Vital signs are routinely monitored but do not directly reflect fluid retention or disease progression in nephrotic syndrome.
Choice B reason: Bowel sounds are not typically affected by nephrotic syndrome and are not a priority assessment.
Choice C reason: Level of consciousness may be altered in severe cases but is not the most sensitive indicator of disease status.
Choice D reason: Daily weight is the most critical assessment for nephrotic syndrome as it reflects fluid retention and response to treatment. Edema is a hallmark feature, and weight changes provide objective data for management.

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Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Monitoring the WBC count helps assess the client’s immune response and detect systemic infection. Elevated WBCs may indicate worsening infection or sepsis, which is critical in MRSA management.

Choice B reason: MRSA is transmitted through direct contact with infected skin or contaminated surfaces. Contact precautions—including gloves, gowns, and dedicated equipment—are essential to prevent spread to other clients and healthcare workers.

Choice C reason: Standard precautions are always used, but wearing a mask is not routinely required for MRSA unless aerosol-generating procedures are performed. MRSA is not typically airborne, so this intervention is not prioritized.

Choice D reason: Sending wound drainage for culture and sensitivity confirms the presence of MRSA and guides appropriate antibiotic therapy. It is a cornerstone of evidence-based infection management.

Choice E reason: A low bacteria diet is not relevant to MRSA skin infections. MRSA is not foodborne, and dietary modifications do not influence its transmission or treatment.

A. Uneven hair distribution. B. Lower leg edema. C. Bronze pigmentation. D. Bounding peripheral pulse.

Correct Answer is A

Explanation

Choice A reason: Uneven or absent hair distribution on the lower extremities is a classic sign of compromised arterial circulation. Reduced blood flow impairs the delivery of nutrients to hair follicles, leading to hair loss or patchy growth, especially on the shins and feet.

Choice B reason: Lower leg edema is more commonly associated with venous insufficiency or heart failure, not arterial compromise. Arterial disease typically causes dry, thin skin and delayed capillary refill, not fluid accumulation.

Choice C reason: Bronze pigmentation is typically linked to chronic venous stasis or endocrine disorders like Addison’s disease. It is not a hallmark of peripheral arterial disease.

Choice D reason: Bounding peripheral pulses are indicative of increased cardiac output or conditions like aortic regurgitation. In arterial insufficiency, pulses are usually diminished or absent due to narrowed vessels.

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When caring for a client with nephrotic syndrome, which assessment is most important for the nurse to obtain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with draining skin lesions of the lower extremity is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

The nurse is performing a physical assessment of a client. Which finding should the nurse recognize as a result of compromised peripheral arterial circulation of the lower extremity?

Correct Answer is A

Explanation

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