A 4-year-old has acute glomerulonephritis, and is admitted to the hospital. Which is an appropriate nursing diagnosis for this child?
1. Risk for injury related to loss of blood in urine
2. Fluid volume excess related to decreased plasma filtration
3. Risk for infection related to hypertension
4. Altered growth and development related to a chronic disease
2
Rationale:
1. In acute glomerulonephritis, there is no risk for injury, because the blood loss in the urine is not such that it causes anemia.
2. In acute glomerulonephritis, the fluid is excessive, and fluid and electrolyte balance should be monitored.
3. In acute glomerulonephritis, while a risk for infection might be present, it is not related to the hypertension.
4. Growth and development are not normally affected in acute glomerulonephritis, because this is an acute process, not a chronic one.
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