Author Question: A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change ... (Read 62 times)

asmith134 · **on:** Jun 28, 2018

A nurse is evaluating the effectiveness of teaching regarding care of a child with minimal change nephrotic syndrome (MCNS) that is in remission after administration of prednisone. The nurse realizes further teaching is required if the parents state what?

a. We will keep our child away from anyone who is ill.
b. We will be sure to administer the prednisone as ordered.
c. We will encourage our child to eat a balanced diet, but we will watch his salt intake.
d. We understand our child will not be able to attend school, so we will arrange for home schooling.

Question 2

For minimal change nephrotic syndrome (MCNS), prednisone is effective when what occurs?

a. Appetite increases and blood pressure is normal
b. Urinary tract infection is gone and edema subsides
c. Generalized edema subsides and blood pressure is normal
d. Diuresis occurs as urinary protein excretion diminishes

TheNamesImani · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
The child with MCNS in remission can attend school. The child needs socialization and will be socially isolated if home schooled. The other statements are accurate for home care for a child with MCNS.

Answer to Question 2

ANS: D
Studies suggest that the duration of steroid treatment for the initial episode should be at least 3 months. In most patients, diuresis occurs as the urinary protein excretion diminishes within 7 to 21 days after the initiation of steroid therapy. The blood pressure is normal with MCNS, so remaining so is not an improvement. There is no urinary tract infection with MCNS.