The community nurse visits the home of a young child who is home from school because of sudden onset of nausea, vomiting, and lethargy
The nurse suspects acute renal failure. Which clinical manifestations support the nurse's suspicions? Select all that apply.
A) Elevated blood pressure
B) Postural hypotension
C) Wheezing
D) Edema
E) Hematuria
Answer: A, D, E
Pediatric manifestations of acute renal failure characteristically begin with a healthy child who suddenly becomes ill with nonspecific symptoms that indicate a significant illness or injury. These symptoms may include any combination of the following: nausea, vomiting, lethargy, edema, gross hematuria, oliguria, and hypertension. Postural hypotension is a manifestation of acute renal failure in an older person. Wheezing is not a manifestation of acute renal failure.
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