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.
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