The nurse is caring for a patient admitted with nephrotic syndrome. Based upon the major clinical manifestation of nephrotic syndrome, the nurse places which of the following nursing diagnoses on the patient's care plan?
A) Constipation related to immobility
B) Risk for injury related to altered thought processes
C) Hyperthermia related to the inflammatory process
D) Excess fluid volume related to excessive protein losses in the urine
Ans: D
Feedback: The major clinical manifestation of nephrotic syndrome is edema, so the appropriate nursing diagnosis is excess fluid volume related to generalized edema. Edema is usually soft, pitting that commonly occurs around the eyes, in dependent areas, and in the abdomen.
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