A child is being treated for nephrotic syndrome. Which assessment finding indicates that an important goal for this child is being met?
A.
Decreased abdominal girth
B.
Diminished urine output
C.
Improved rash
D.
Increased weight over a week
ANS: A
The combination of fluid retention and protein loss through the urine produces ascites, or a swollen belly. Decreasing abdominal girth signifies that the disease is being successfully treated. Urine output is already diminished in nephrotic syndrome. There is no rash. Increasing weight means increased fluid retention, which would not be an improvement.
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