A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?

Nephrotic syndrome is characterized by heavy proteinuria, hypoalbuminemia, and severe edema. Knowledge of fluid shifts, protein loss, and the physiological effects of corticosteroid or diuretic therapy is required to evaluate clinical markers indicating a return to normal fluid balance. Choice A rationale The disappearance of genital edema indicates that fluid is returning to the intravascular space. In nephrotic syndrome, low albumin causes fluid to leak into tissues; its resolution suggests that glomerular permeability is improving and protein. Choice B rationale A temperature of 37.2°C is within the normal range for a child. While this indicates the absence of a current fever, it does not specifically reflect the effectiveness of treatment for the underlying pathophysiology of nephrotic syndrome. Choice C rationale A blood pressure of 96/46 mm Hg is relatively low for a 5-year-old. While blood pressure can fluctuate with fluid shifts, a very low reading might actually indicate hypovolemia rather than a successful resolution of the syndrome. Choice D rationale Nephrotic syndrome is typically a painless condition regarding the act of voiding itself. The absence of pain with urination is a normal finding but does not measure the reduction of proteinuria or the resolution of edema..