When the patient enters into nephrotic syndrome after an exacerbation of glomerulonephritis, the nurse would expect to see:
a. decreased serum albumin.
b. decreased lipids.
c. decreased proteinuria.
d. increased hematuria.
A
Nephrotic syndrome sometimes occurs after the glomeruli have been damaged by glomerulo-nephritis or some other disease. This damage results in increased membrane permeability and excretion of protein and decreased serum albumin (hypoalbuminemia). Hypoalbuminemia causes fluid to shift out into the body tissues and the result is severe edema. Lipid level changes are not characteristic of nephritic syndrome. Hematuria does not increase with the onset of nephritic syndrome.
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