A Child Who Has Nephrotic Syndrome Is on a Steroids

question 2

Multiple Choice

A child who has nephrotic syndrome is on a steroids and a salt-restricted diet for a relapse of symptoms. A dipstick urinalysis shows 1+ protein, down from 3+ at the beginning of the episode. In consultation with the child's nephrologist, what is the correct course of treatment considering this finding?

• A) Begin a taper of the steroid medication while continuing salt restrictions.
• B) Continue with steroids and salt restrictions until the urine is negative for protein.
• C) Discontinue the steroids and salt restrictions now that improvement has occurred.
• D) Relax salt restrictions and continue administration of steroids until proteinuria is gone.

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Definitions:

Force Field Analysis

A tool developed by Kurt Lewin, used to analyze the forces for and against a change, helping in the identification of factors that could be strengthened or reduced to support the achievement of a goal.

Force Field Model

A framework proposed by Kurt Lewin to analyze the factors (forces) that influence the change process, with forces aiding change termed as driving forces and those opposing as restraining forces.

Restraining Forces

Factors that hinder or limit the process of change within an organization or individual's behavior.

Changed Behaviors

Modifications or adjustments in one's actions or reactions as a result of experiences or interventions.