12-year-old Caroline has recurring nephrotic syndrome. Which of the following areas of potential disturbances should be a prime consideration when planning ongoing nursing care?
A. Body image
B. Sexual maturation
C. Muscle coordination
D. Intellectual development
Correct Answer: A. Body image
Because of edema associated with nephrotic syndrome, potential self-concept, and body image disturbances related to changes in appearance and social isolation should be considered. Nephrotic syndrome is a condition that causes the kidneys to leak large amounts of protein into the urine. This can lead to a range of problems, including swelling of body tissues and a greater chance of catching infections.
Option B: Sexual maturation is not affected. Instruct parents to provide frequent oral hygiene. Oral hygiene reduces dryness of the mouth and mucous membranes. Advise them to limit fluid intake as ordered. The amount of allowed fluid intake is determined based on the child’s weight, urine output, and response to treatment.
Option C: Muscle coordination is not affected. Assess their knowledge of disease, signs and symptoms of relapse, dietary and activity aspects of care, medication administration and side effects, monitoring urine and vital signs. This provides information about education needs for follow-up care.
Option D: Intellectual function is not affected. Offer parents and child with praise and encouragement as they acquire skills. Positive reinforcement improves willingness to learn new skills.