Which finding indicates that a child receiving prednisone for primary nephrotic syndrome is in remission?
a. Urine is negative for casts for 5 days.
b. Urine is up to a trace for protein for 5 to 7 days.
c. Urine is positive for glucose for 1 week.
d. Urine is up to a trace for blood for 1 week.
B
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A The absence of casts in the urine gives no indication about the child's response
to treatment. The child with primary nephrotic syndrome is considered to be in
remission when the urine is negative for protein for 5 to 7 consecutive days.
B The child receiving steroids for the treatment of primary nephrotic syndrome is
considered in remission when the urine is up to trace for protein for 5 to 7 days.
C Remission is achieved when the urine is negative for protein for 5 to 7
consecutive days. It is not unusual for glucose to test positive if the child is
taking prednisone.
D The presence or absence of hematuria is not used to determine remission in
primary nephrotic syndrome.
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