What is an appropriate nursing intervention for a child with ...

[craiczarry]

What is an appropriate nursing intervention for a child with minimal change nephrotic syndrome (MCNS) who has scrotal edema?
 
  a. Place an ice pack on the scrotal area.
  b. Place the child in an upright sitting position.
  c. Elevate the scrotum with a rolled washcloth.
  d. Place a warm moist pack to the scrotal area.

Question 2

What do the clinical manifestations of minimal change nephrotic syndrome include?
 
  a. Hematuria, bacteriuria, and weight gain
  b. Gross hematuria, albuminuria, and fever
  c. Hypertension, weight loss, and proteinuria
  d. Massive proteinuria, hypoalbuminemia, and edema

[Brenm]

Answer to Question 1

ANS: C
In children hospitalized with MCNS, elevating edematous parts may be helpful to shift fluid to more comfortable distributions. Areas that are particularly edematous, such as the scrotum, abdomen, and legs, may require support. The scrotum can be elevated with a rolled washcloth. Ice or heat should not be used. Sitting the child in an upright position will not decrease the scrotal edema.

Answer to Question 2

ANS: D
Massive proteinuria, hypoalbuminemia, and edema are clinical manifestations of minimal change nephrotic syndrome. Hematuria and bacteriuria are not seen, and there is usually weight loss, not gain. The blood pressure is normal or hypotensive.