A client has nephrotic syndrome. Which finding shows that therapy is effective?
a. Serum albumin level, 2.8 g/dL
b. Serum albumin level, 4 g/dL
c. Urine protein level, 3.7 g/24 hr
d. Potassium, 4.2 mEq/L
B
The main diagnostic findings in nephrotic syndrome are severe proteinuria, low serum albumin, high serum lipids, and fat in the urine. A serum albumin of 4 g/dL is within the normal range, showing that therapy is working. An albumin level of 2.8 g/dL is low, and proteinuria of 3.7 g/24 hr is high, showing that the disease is not yet controlled. Potassium is not affected.
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