A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

Rationale: A. A kidney biopsy helps confirm the diagnosis of nephrotic syndrome and identify the underlying cause of glomerular damage. B. Periorbital (facial) edema is a common manifestation of nephrotic syndrome due to severe protein loss and resulting hypoalbuminemia, which causes fluid to shift into the interstitial spaces. C. Proteinuria is a hallmark feature of nephrotic syndrome caused by increased glomerular permeability, leading to significant loss of protein, especially albumin, in the urine. D. This statement indicates a need for further teaching. Clients with nephrotic syndrome should restrict sodium intake to help manage edema and prevent further fluid retention. Increasing sodium can worsen swelling and hypertension.