A 5-year-old child is in the hospital with acute renal failure following a streptococcus infection. The parents speak little English and are asking the nurse what mistake they made that caused the child to be so sick
The nurse obtains an interpreter and plans to explain which of the following to the parents? 1. The child has a congenital defect that led to renal failure.
2. The child is not eating enough protein in the diet.
3. The streptococcus infection precipitated the renal failure.
4. The child has renal failure secondary to a low calcium level.
3. The streptococcus infection precipitated the renal failure.
Rationale:
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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