An adult patient is admitted to the hospital with new-onset nephrotic syndrome. Which assessment data will the nurse expect?
Explanation & Rationale
A. Decreased blood pressure: Nephrotic syndrome is typically associated with fluid retention rather than fluid deficit. Most clients present with normal or elevated blood pressure due to sodium and water retention, making decreased blood pressure an unlikely finding. B. Poor skin turgor: Poor skin turgor is generally a sign of dehydration. In nephrotic syndrome, the problem is not dehydration but rather fluid shifting into interstitial spaces, leading to edema rather than loss of skin elasticity from fluid deficit. C. Recent weight gain: Weight gain is expected in nephrotic syndrome due to massive proteinuria, hypoalbuminemia, and subsequent edema formation. The retained fluid leads to a rapid increase in body weight, often accompanied by swelling in the face, extremities, and abdomen. D. Elevated urine ketones: Elevated urine ketones are typically seen in uncontrolled diabetes mellitus or starvation, not nephrotic syndrome. In nephrotic syndrome, urinalysis usually reveals proteinuria, lipiduria, and the presence of casts rather than ketones.