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 ["B","C","D"]

Explanation

A) Infusing 0.9% sodium chloride is incorrect as it's not appropriate for TPN administration.
B) Obtaining the client's weight daily helps to monitor nutritional status and adjust TPN accordingly.
C) Monitoring serum blood glucose is essential due to the high glucose content in TPN, which can lead to hyperglycemia.
D) Verifying the solution with another RN prior to infusion is a safety measure to ensure the correct solution and dosage.
E) Increasing the rate of infusion if administration is delayed may lead to complications and is not appropriate without medical orders.

A. Palpable thrill B. Absence of a bruit C. Normotensive blood pressure D. Dilated appearance of the graft

Correct Answer is A

Explanation

A. A palpable thrill over the graft site indicates adequate blood flow through the graft.

B. The presence of a bruit (a humming sound) over the graft site is expected and indicates blood flow.
C. Normotensive blood pressure is not specifically indicative of the circulation of the graft.
D. A dilated appearance of the graft may indicate an issue with the graft, such as an aneurysm, rather than adequate 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

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

Explanation

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Correct Answer is A

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?