A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Rationale: A. This is typically seen in acute glomerulonephritis, due to hematuria (blood in the urine). In nephrotic syndrome, urine is usually frothy because of high protein content, not bloody. B. Mild or normal blood pressure is more common in nephrotic syndrome. Severe hypertension is more characteristic of acute glomerulonephritis. C. Periorbital (facial) edema is a classic early sign of nephrotic syndrome. It is due to massive protein loss in urine (proteinuria), leading to low serum albumin and fluid shifting into interstitial tissues. The edema may later progress to generalized (anasarca). D. Children with nephrotic syndrome often have decreased urine output (oliguria) due to fluid retention, not increased urine production.