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    Hesi rn med surg 2 proctored exam

    When caring for a client with nephrotic syndrome, which assessment is most important for the nurse to obtain?

    Explanation & Rationale

    Choice A reason: Vital signs are routinely monitored but do not directly reflect fluid retention or disease progression in nephrotic syndrome. Choice B reason: Bowel sounds are not typically affected by nephrotic syndrome and are not a priority assessment. Choice C reason: Level of consciousness may be altered in severe cases but is not the most sensitive indicator of disease status. Choice D reason: Daily weight is the most critical assessment for nephrotic syndrome as it reflects fluid retention and response to treatment. Edema is a hallmark feature, and weight changes provide objective data for management.

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