What is the primary objective of care for the child with minimal ...

[viki]

What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?
 
  a. Reduce blood pressure.
  b. Lower serum protein levels.
  c. Minimize excretion of urinary protein.
  d. Increase the ability of tissue to retain fluid.

Question 2

What laboratory finding, in conjunction with the presenting symptoms, indicates minimal change nephrotic syndrome?
 
  a. Low specific gravity
  b. Decreased hemoglobin
  c. Normal platelet count
  d. Reduced serum albumin

[HandsomeMarc]

Answer to Question 1

ANS: C
The objectives of therapy for the child with MCNS include reducing the excretion of urinary protein, reducing fluid retention, preventing infection, and minimizing complications associated with therapy. Blood pressure is usually not elevated in minimal change nephrotic syndrome. Serum protein levels are already reduced as part of the disease process. This needs to be reversed. The tissue is already retaining fluid as part of the edema. The goal of therapy is to reduce edema.

Answer to Question 2

ANS: D
Total serum protein concentrations are reduced, with the albumin fractions significantly reduced. Specific gravity is high and proportionate to the amount of protein in the urine. Hemoglobin and hematocrit are usually normal or elevated. The platelet count is elevated as a result of hemoconcentration.

[viki]

Thank you

[HandsomeMarc]

No problemo