Author Question: A 58-year-old male patient who is diagnosed with nephrotic syndrome has ascites and 4+ leg edema. ... (Read 89 times)

natalie2426 · **on:** Jun 25, 2018

A 58-year-old male patient who is diagnosed with nephrotic syndrome has ascites and 4+ leg edema. Which nursing diagnosis is a priority for the patient?

a. Activity intolerance related to rapidly increased weight
b. Excess fluid volume related to low serum protein levels
c. Disturbed body image related to peripheral edema and ascites
d. Altered nutrition: less than required related to protein restriction

Question 2

Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?

a. Encouraging adequate oral fluid intake
b. Testing urine with a dipstick daily for nitrites
c. Avoiding unnecessary urinary catheterizations
d. Providing frequent perineal hygiene to patients

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

Answer to Question 1

ANS: B
The patient has massive edema, so the priority problem at this time is the excess fluid volume. The other nursing diagnoses are also appropriate, but the focus of nursing care should be resolution of the edema and ascites.

Answer to Question 2

ANS: C
Because catheterization bypasses many of the protective mechanisms that prevent urinary tract infection (UTI), avoidance of catheterization is the most effective means of reducing HAI. The other actions will also be helpful, but are not as useful as decreasing urinary catheter use.