A child is recovering at home from nephrotic syndrome and is on a regimen of prednisone and antibiotics. The child's parents call the pediatric clinic and tell the nurse that their child is gaining a lot of weight
The nurse will first suspect which of the following possible causes of the weight gain? a. ravenous appetite as a side effect of steroid therapy
b. sodium retention and concurrent retention of water
c. edema associated with steroid therapy
d. worsening or relapse of the nephrotic syndrome
B
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A Incorrect. Taking a call from a child's parents, and hearing nephrotic syndrome, taking prednisone and antibiotics with a sudden weight gain, the nurse will not first suspect a ravenous appetite as a side effect of steroid therapy.
B Correct. Taking a call from a child's parents, and hearing nephrotic syndrome, taking prednisone and antibiotics with a sudden weight gain, the nurse will first suspect sodium retention and concurrent retention of water, i.e., edema. Edema is usually the first clinical feature.
C Incorrect. Taking a call from a child's parents, and hearing nephrotic syndrome, taking prednisone and antibiotics with a sudden weight gain, the nurse will not first suspect edema associated with steroid therapy.
D Incorrect. Taking a call from a child's parents, and hearing nephrotic syndrome, taking prednisone and antibiotics with a sudden weight gain, the nurse will not first suspect worsening or relapse of the nephrotic syndrome.
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