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NUR 265-Comprehensive Exam (Latest 2026 Update) 100% Verified Questions & Answers | Grade A+

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NUR 265-Comprehensive Exam (Latest 2026 Update) 100% Verified Questions & Answers | Grade A+

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NUR 265-Comprehensive Exam (Latest 2026 Update)
100% Verified Questions & Answers | Grade A+

What is nephrotic syndrome? - CORRECT ANSWER -A type of renal failure characterized by
increased glomerular permeability that allows larger molecules to pass through the membrane
into the urine to be excreted.



What is the most common causes of nephrotic syndrome? - CORRECT ANSWER -Most common
cause is an immune or inflammatory response/process, genetic defects to glomerular filtration
process (ie... Fabry disease). Can occur with any renal or systemic disease that causes
glomerular damage.



Risk factors for nephrotic syndrome - CORRECT ANSWER -(stems from a patient's existing
disease causing damage to the kidneys). Glomerulonephritis, DM, Systemic Lupus
Erythematosus, Amyloidoisis, multiple myeloma, or renal vein thrombosis.



Signs and symptoms of Nephrotic syndrome - CORRECT ANSWER -soft pitting edema: in the
periorbital area, dependent areas (sacrum, ankles and hands) and the abdomen ascites)

severe proteinuria (greater than 3.5mg in 24 hours- dx by 24 hour urine collection)

hypoalbuminemia

lipiduria

hyperlipidemia

hiigh cholestrol

reduced kidney function

increased coagulation

irritability

headache

malaise

, fatigue/anorexia

pallor

low vitamin D

orthostatic hypotension



Proteinuria can increase the risk for _______because of the loss of immunoglobulins - CORRECT
ANSWER -Infection



Management of Nephrotic syndrome includes? - CORRECT ANSWER -Treating the underlying
disease (identified through biopsy),

Identifying cause of proteinuria

Slowing the progression of CKD

Reducing symptoms



Treatment for Nephrotic Syndrome - CORRECT ANSWER -Diuretics (for edema)

ACE inhibitors (reduces proteinuria)

Lipid lowering agents for hyperlipidemia

Antibiotics (IF evidence of infection)

Modified diet of: 1 g/ kg/ day protein, low fat and sodium restriction

Heparin 9may reduce protein loss in urine and improve kidney function

Steriods (immunologic conditions to reduce infection risk)



As a nurse...what am I going to do for Nephrotic syndrome? - CORRECT ANSWER -Vital signs

Daily weights

Intake and output

Pt may have urine output and edema

S/S of infection

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