A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:
1. Risk for injury related to hypertension.
2. Altered growth and development related to a chronic disease.
3. Risk for infection related to hypertension.
4. Fluid volume excess related to decreased plasma filtration.
1
Rationale 1: The child with AGN has marked hypertension, which can lead to cardiac failure and cerebral injuries.
Rationale 2: Growth and development are not normally affected because this is an acute process, not a chronic one.
Rationale 3: While a risk for infection might be present, it is not related to the hypertension.
Rationale 4: Although fluid retention occurs, this is not the priority diagnosis.
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The nurse assures a 50-year-old patient recovering from a stroke that because she is going to a long-term care facility for a short stay:
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