What is one of the key signs the nurse should monitor for in a child with nephrotic syndrome?

In a child with nephrotic syndrome, monitoring for edema and weight gain is crucial as these are key manifestations of the condition. Nephrotic syndrome is characterized by increased permeability of the glomeruli, leading to excessive protein loss in urine, which results in hypoproteinemia. This decrease in plasma protein levels leads to a decrease in oncotic pressure, causing fluid to leak into the interstitial spaces, thereby resulting in edema.

Additionally, as edema accumulates, the child's weight may increase due to fluid retention. This combination of symptoms is vital for nursing assessment and management, as significant weight gain can indicate worsening edema and potentially trigger complications such as electrolyte imbalances or infection. Monitoring these signs helps in evaluating the effectiveness of treatment and the overall progression of nephrotic syndrome.