Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the desired effect?

Choice A reason: Fever reduction isn’t a primary goal of albumin in nephrotic syndrome; it addresses hypoalbuminemia and fluid shifts, not infection or inflammation causing fever directly. Choice B reason: Improved caloric intake reflects nutrition but isn’t a direct effect of albumin; it restores oncotic pressure, not appetite, in nephrotic syndrome management. Choice C reason: Weight gain could indicate fluid retention worsening edema, not albumin’s desired effect of shifting fluid back to vessels, making it an unreliable success marker. Choice D reason: Reduction of edema shows albumin’s effectiveness in raising plasma oncotic pressure, pulling fluid from tissues into blood vessels, correcting nephrotic syndrome’s hallmark swelling.