A client recovering from nephrotic syndrome asks why medication for hypertension has been prescribed. Which response should the nurse make to this client?
a. " ACE-I inhibitors also reduce protein loss into the urine."
b. " ACE-I inhibitors increase urination and prevent edema."
c. "The medication is prescribed to prevent hypertension from developing."
d. " Without an ACE-I inhibitor, increased dietary protein would be needed."
a. " ACE-I inhibitors also reduce protein loss into the urine."
Nephrotic syndrome is characterized by a massive loss of protein in the urine resulting from damage to the renal glomeruli. Although primarily used to control hypertension, ACE-inhibitors also reduce the loss of protein into the urine and can allow for a more liberal dietary protein intake. Moderate protein restriction with adequate caloric intake can reduce proteinuria without contributing to malnutrition. Excessive protein loss results in decreased plasma albumin and edema.
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A woman has come to the clinic for her first prenatal visit. Which of the following would be the most effective way to initiate data gathering for a health history?
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A client with musculoskeletal pain from a leg injury asks the nurse what chiropractic techniques are successful for his type of problem. The nurse responds:
1. "There is currently very little research published on cases like yours.". 2. "I had some clients who are very happy with the chiropractic care they've received.". 3. "I believe that traditional medicinal therapies have better results than chiropractic therapies.". 4. "When the problem is pain, I'm not sure that chiropractic techniques are research-based.".
The nurse will perform all invasive or uncomfortable procedures such as ear inspection at what point during the physical examination?
a. in a sequential manner c. last b. first d. optional