A 4-year-old has acute glomerulonephritis and is admitted to the hospital. An appropriate nursing diagnosis for this child would be
1. risk for injury related to loss ofblood in urine.
2. fluid-volume excess related todecreased plasma filtration.
3. risk for infection related tohypertension.
4. altered growth and developmentrelated to a chronic disease.
Answer:2
Rationale: The fluid is excessive,and fluid and electrolyte balance should be monitored. There is no risk for injury because the blood loss in the urine is not such that it causes anemia. While a risk for infection may be present,it is notrelated to the hypertension.Growth and development is not normally affected because this is an acute process,not a chronic one.
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