A nurse is reviewing the medical record of a client who has nephrotic syndrome.

Which of the following findings should the nurse expect?

Decreased coagulation

Proteinuria

Decreased serum lipid levels

Hyperalbuminemia

Answer and Explanation

The Correct Answer is B

A) Nephrotic syndrome is not typically associated with decreased coagulation.

B) Proteinuria, or the presence of excessive protein in the urine, is a hallmark finding of nephrotic syndrome.
C) Nephrotic syndrome is actually associated with increased serum lipid levels.

D) Hyperalbuminemia is not typically associated with nephrotic syndrome; rather, hypoalbuminemia is more common due to loss of albumin in the urine.

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

Explanation

A) The client's pain level decreased from 7 to 5 after receiving nitroglycerin. This decrease indicates improvement in the client's condition.
B) The client’s respiratory rate decreased from 24/min to 22/min.
C) The client’s heart rate decreased from 120/min to 100/min.

D) Initially, the client's oxygen saturation was 93% on room air, which decreased to 89%. However, after receiving oxygen at 2 L/min via nasal cannula it improved to 92%.
E) The blood pressure decreased from 176/82 to 110/62.

F) Only one echocardiogram result showing myocardial infarction was provided.

G) Only one reading of I&O was provided showing an output of 32 mL, hence difficult to determine whether there was an improvement.

A. Alert and orientated x4 B. Heart and lung sounds clear C. Blood glucose 310 mg/dl. (74 to 106 mg/dL) D. Client is tolerating soft diet and oral fluids E. Bilateral pedal pulses 2+ F. Temperature 36.8° C (98.2° F) G. Pulse rate 84/min H. Respiratory rate 16/min I. Blood pressure 106/76 mm Hg J. Oxygen saturation 96% on room air

Correct Answer is ["C","E","G","I"]

Explanation

Rationale:

The client's condition shows signs of improvement as indicated by several findings. The blood glucose level has decreased from 468 mg/dL to 310 mg/dL, which, although still above the normal range, is a significant improvement. The pulse rate has normalized from 110/min to 84/min, and the blood pressure has improved from 96/65 mm Hg to 106/76 mm Hg, indicating better cardiovascular stability. The increase in bilateral pedal pulses from 1+ to 2+ suggests improved circulation.

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A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the client's medical record. Exhibits The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

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

Explanation

Correct Answer is ["C","E","G","I"]

Explanation

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A nurse is reviewing the medical record of a client who has nephrotic syndrome.

Which of the following findings should the nurse expect?