The priority nursing assessment in a child with acute renal failure should be:
1. Heart rate.
2. Calculating the urine output per hour.
3. Monitoring blood pressure.
4. Assessing for edema.
3
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1. The heart rate increases are a concern, but the rapidly changing blood pressure is the priority.
2. Maintaining strict I/O is important for the measuring of edema, but this takes several hours. The blood pressure changes rapidly and can cause major issues.
3. Blood pressure can change rapidly in ARF, causing a hypertension crisis.
4. Edema should be monitored, but it changes gradually, unlike blood pressure.
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