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?

Effective treatment for nephrotic syndrome is characterized by the resolution of edema and the restoration of normal renal filtration. The nurse evaluates clinical improvements such as increased diuresis and the reduction of proteinuria to determine if the prescribed corticosteroids or diuretics are working. Choice A rationale A temperature of 37.2°C is within the normal range but does not indicate the resolution of nephrotic syndrome. While monitoring for infection is crucial during steroid therapy, temperature stability is not a direct metric for renal filtration efficacy. Choice B rationale Nephrotic syndrome involves significant fluid retention; therefore, a robust urine output of 256 mL over 8 hours (32 mL/hr) indicates improved renal function. This suggests a reduction in glomerular permeability and the successful mobilization of edema. Choice C rationale Odorless urine is not a clinical indicator of improved glomerular function or the resolution of proteinuria. Urine odor is influenced by hydration levels, diet, and the presence of bacteria, rather than the pathological protein loss seen in nephrotic syndrome. Choice D rationale Nephrotic syndrome is generally characterized by painless edema and proteinuria rather than dysuria. The absence of pain during voiding does not confirm that the underlying glomerular basement membrane damage or the associated massive edema has been resolved..