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Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?

a. Ibuprofen, an anti-inflammatory agent
b. Furosemide (Lasix), a diuretic
c. Ciprofloxacin (Cipro), an antibiotic
d. Cyclophosphamide (Cytoxan), an antisuppressant

User Norbeq
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Final answer:

To bring about diuresis in a child with nephrotic syndrome after a month on corticosteroids, the nurse can encourage the use of furosemide (Lasix), a diuretic that inhibits the reabsorption of sodium and chloride ions in the loop of Henle.

Step-by-step explanation:

Diuresis is the increased production of urine, while nephrotic syndrome is a kidney disorder characterized by excessive protein loss in urine. Corticosteroids are commonly used to treat nephrotic syndrome, but if diuresis has not occurred after a month on corticosteroids, additional interventions may be needed.

Based on the options provided, the nurse can encourage the use of furosemide (Lasix), a diuretic, to stimulate diuresis in the child with nephrotic syndrome. Furosemide inhibits the reabsorption of sodium and chloride ions in the loop of Henle, leading to increased urine volume and diuresis.

Ibuprofen, an anti-inflammatory agent, is not indicated for the treatment of nephrotic syndrome and is unlikely to cause diuresis. Ciprofloxacin, an antibiotic, is also not directly associated with diuresis. Cyclophosphamide, an immunosuppressant, may be used in the treatment of nephrotic syndrome, but it is not primarily used to induce diuresis.

User GuiltyDolphin
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