When providing discharge teaching for a child with nephrotic syndrome, which instruction is crucial?

In the context of nephrotic syndrome, it is vital to provide discharge teaching that emphasizes the child's susceptibility to infections. Children with nephrotic syndrome often experience immunosuppression due to factors like the use of corticosteroids, which are commonly prescribed as part of treatment. This weakened immune response makes them more vulnerable to infections, necessitating precautions such as avoiding close contact with individuals who are infected or ill.

While maintaining a balanced diet and encouraging physical activity are important aspects of overall health, they are not as immediately critical as infection prevention in the context of nephrotic syndrome. A high-fat or high-sodium diet is generally not recommended for these children, as they often need to manage their nutrition more carefully to support recovery and prevent complications. Therefore, the priority in discharge teaching should focus on reducing the risk of infections, which is crucial in maintaining the child's health.