27)ANSWER

D) the condition causes a reduction of gamma globulin in the body.

Explanation

Nephrotic syndrome involves the loss of protein in the urine. Gamma globulins, which help the body fight infections, are proteins. Skin that is not clean and dry is more prone to breakdown, which could lead to infection. The child is oliguric and therefore does not urinate frequently. The only restrictions on the child’s intake are fluid and perhaps sodium. There is no electrolyte deficiency. The core issue of the question is the ability to relate gamma globulin deficiency in nephrotic syndrome to situations that increase risk of infection, such as unclean or moist skin. Use nursing knowledge and the process of elimination to make a selection.