Author Question: After teaching a client with nephrotic syndrome and a normal glomerular filtration, the nurse ... (Read 62 times)

ishan · **on:** Jun 25, 2018

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 nutritional therapy for this condition?

a. I must decrease my intake of fat.
b. I will increase my intake of protein.
c. A decreased intake of carbohydrates will be required.
d. An increased intake of vitamin C is necessary.

Question 2

An emergency department nurse assesses a client with kidney trauma and notes that the client's abdomen is tender and distended and blood is visible at the urinary meatus.

Which prescription should the nurse consult the provider about before implementation?
a.
Assessing vital signs every 15 minutes
b.
Inserting an indwelling urinary catheter
c.
Administering intravenous fluids at 125 mL/hr
d.
Typing and crossmatching for blood products

jointhecircus · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
In nephrotic syndrome, the renal loss of protein is significant, leading to hypoalbuminemia and edema formation. If glomerular filtration is normal or near normal, increased protein loss should be matched by increased intake of protein. The client would not need to adjust fat, carbohydrates, or vitamins based on this disorder.

Answer to Question 2

ANS: B
Clients with blood at the urinary meatus should not have a urinary catheter inserted via the urethra before additional diagnostic studies are done. The urethra could be torn. The nurse should question the provider about the need for a catheter; if one is needed, the provider can insert a suprapubic catheter. The nurse should monitor the client's vital signs closely, send blood for type and crossmatch in case the client needs blood products, and administer intravenous fluids.