A nurse is caring for a child with acute kidney injury (AKI) at home. The child's laboratory work is as follows: serum albumen 2.8 g/dL and serum protein 4 g/dL. Which action by the nurse is the most appropriate?
A.
Assess the child for edema.
B.
Document findings in the chart.
C.
Facilitate a dietitian referral.
D.
Weigh and measure the child.
ANS: C
All interventions are appropriate for a child with AKI. However the child's laboratory results indicate malnutrition, and with the dietary restrictions the child must follow, ensuring adequate nutrition is difficult. A referral to a dietitian is most important.
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