A patient admitted with nephrotic syndrome is being cared for on your unit. When writing this patient's care plan, based upon the major clinical manifestation of nephrotic syndrome, what nursing diagnosis would you include?
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 generalized edema
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, and commonly occurs around the eyes, in dependent areas, and in the abdomen. Options A, B, and C are incorrect nursing diagnoses for this patient.
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