Final answer:
The priority nursing assessment for a patient with nephrotic syndrome is the daily measurement of weights and abdominal girth to monitor fluid retention and the extent of edema.
Step-by-step explanation:
The priority nursing assessment in the care of a patient with nephrotic syndrome should focus on monitoring conditions that could lead to potential complications of the syndrome. Given the symptoms associated with nephrotic syndrome, which include swelling, low serum albumin, and high cholesterol, option 4) Daily weights and measurement of the patient's abdominal girth stands out as a priority. This assessment helps in monitoring fluid retention and the extent of edema, which are common in nephrotic syndrome. Additionally, measuring serum calcium and phosphorus levels is not typically a priority assessment for nephrotic syndrome unless indicated by the patient's condition or therapy.
Within the scope of providing direct supervision of a registered nurse, assessing a patient's blood pressure and checking for orthostatic hypotension is essential, but it may not be the highest priority in every case. Similarly, while assessment of pain and level of consciousness is important in all patients, it is not specific to the management of nephrotic syndrome. In any case, the patient should undergo a comprehensive assessment tailored to their individual needs and condition.