The nurse is caring for a baby with newly diagnosed renal disease. The nurse would anticipate diagnostic tests to evaluate functioning of which of the following sytems to be the highest priority?

1. Ears
2. Heart
3. Lungs
4. Joints


1
Rationale 1: The ears and kidneys develop at the same time in utero. Congenital deafness is frequently associated with renal disease; therefore, the auditory function of the baby with known renal disease would be important to assess because of the embryonic development.
Rationale 2: Even though all body systems should be assessed to make sure their function is normal, the heart would not be the highest priority system since congenital deafness is frequently associated with renal disease due to the ears and kidneys developing at the same time in utero.
Rationale 3: Even though all body systems should be assessed to make sure their function is normal, the lungs would not be the highest priority system since congenital deafness is frequently associated with renal disease due to the ears and kidneys developing at the same time in utero.
Rationale 4: Even though all body systems should be assessed to make sure their function is normal, the joints would not be the highest priority system since congenital deafness is frequently associated with renal disease due to the ears and kidneys developing at the same time in utero.

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