A preschool-age child is admitted to the hospital with acute postinfectious glomerulonephritis (APIGN) and is admitted to the hospital. Which is the priority nursing diagnosis for this child?
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
Explanation:
1. The child with APIGN has marked hypertension, which can lead to cardiac failure and cerebral injuries.
2. Growth and development are not normally affected because this is an acute process, not a chronic one.
3. While a risk for infection might be present, it is not related to the hypertension.
4. Although fluid retention occurs, this is not the priority diagnosis.
You might also like to view...
A nurse teaches a client who is recovering from a spinal fusion. Which statement should the nurse include in this client's postoperative instructions?
a. "Only lift items that are 10 pounds or less." b. "Wear your brace whenever you are out of bed." c. "You must remain in bed for 3 weeks after surgery." d. "You are prescribed medications to prevent rejection."
The nurse is providing care to a client at a local clinic. The nurse suspects that the client is experiencing a urinary tract infection. Which urinalysis result supports the nurse's suspicions?
A) pH 5.2 B) Negative glucose C) WBC 10-15 D) Specific gravity 1.012
A client is suspected of having meningitis. For which test should the nurse prepare this client?
1. Lumbar puncture 2. CBC 3. Head x-ray 4. Doppler study of the head
A client presents to the primary care clinic and is disheveled in appearance, with stained, dirty clothing, body odor, and uncombed hair
Based on this observation, which of the following should the nurse assess during the history and physical exam? Standard Text: Select all that apply. 1. Occupation 2. Depression 3. Smoking history 4. Self-concept 5. Immunization status