A young school-age client is in the hospital with acute renal failure following a streptococcus infection. The parents are Spanish-speaking and speak little English
The parents, through an interpreter, ask the nurse what mistake they made that caused the child to be so sick. Which response by the nurse is the most appropriate?
A) "Your child does not have enough dietary protein."
B) "Your child has a congenital defect that led to renal failure."
C) "Your child's renal failure has been caused by a low calcium level."
D) "Your child's recent infection may have caused the renal failure."
Answer: D
Clients with streptococcus are at risk for kidney and cardiac sequelae. In this case, the child has no evidence of a congenital defect leading to acute renal failure (ARF). A low-protein or low-calcium diet will not lead to ARF.
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