Question

A nurse is preparing a 2-year-old child with suspected nephrotic syndrome for a renal biopsy to confirm the diagnosis. The mother asks the nurse, "Will my child ever look thin again?" The nurse appropriately responds by saying______________

Answer 1

The nurse can reassure the mother that with proper treatment for nephrotic syndrome, her child may experience a reduction in swelling and return to a more normal appearance. Treatment outcomes can vary, but nutritional status and protein intake are crucial factors in managing the condition.

Step-by-step explanation:

The nurse can respond compassionately and informatively to the mother's concern. Due to nephrotic syndrome, children often experience significant swelling (edema), particularly around the abdomen, face, and limbs due to a loss of protein in the urine, which can make them appear puffy or bloated.

After diagnosis and with appropriate treatment, which may include steroids or other medications, dietary changes, and possibly treatment of the underlying condition causing the nephrotic syndrome, many children do experience a reduction in swelling and a return to a more typical physique. However, the outcome may vary depending on the individual circumstances and response to treatment.

In the context of suspected nephrotic syndrome, it's important to note that nutritional status and protein intake are critical; this differentiates it from the malnutrition seen in conditions like kwashiorkor, which is specifically caused by protein deficiency and presents with symptoms such as edema, distended abdomen, and thinning hair, amongst others.