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.
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.
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