Author Question: A nurse assesses a client with nephrotic syndrome. For which clinical manifestations should the ... (Read 148 times)

mckennatimberlake · **on:** Jun 25, 2018

A nurse assesses a client with nephrotic syndrome. For which clinical manifestations should the nurse assess? (Select all that apply.)

a. Proteinuria
b. Hypoalbuminemia
c. Dehydration
d. Lipiduria
e. Dysuria
f.
Costovertebral angle (CVA) tenderness

Question 2

A nurse assesses a client who is recovering from a nephrostomy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)

a. Clear drainage
b. Bloody drainage at site
c. Client reports headache
d. Foul-smelling drainage
e. Urine draining from site

al · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
Nephrotic syndrome is caused by glomerular damage and is characterized by proteinuria (protein level higher than 3.5 g/24 hr), hypoalbuminemia, edema, and lipiduria. Fluid overload leading to edema and hypertension is common with nephrotic syndrome; dehydration does not occur. Dysuria is present with cystitis. CVA tenderness is present with inflammatory changes in the kidney.

Answer to Question 2

ANS: B, D, E
After a nephrostomy, the nurse should assess the client for complications and urgently notify the provider if drainage decreases or stops, drainage is cloudy or foul-smelling, the nephrostomy sites leaks blood or urine, or the client has back pain. Clear drainage is normal. A headache would be an unrelated finding.