What is the primary objective of care for the child with minimal change nephrotic syndrome (MCNS)?
a. Reduce blood pressure.
b. Lower serum protein levels.
c. Minimize excretion of urinary protein.
d. Increase the ability of tissue to retain fluid.
ANS: C
The objectives of therapy for the child with MCNS include reducing the excretion of urinary protein, reducing fluid retention, preventing infection, and minimizing complications associated with therapy. Blood pressure is usually not elevated in minimal change nephrotic syndrome. Serum protein levels are already reduced as part of the disease process. This needs to be reversed. The tissue is already retaining fluid as part of the edema. The goal of therapy is to reduce edema.
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