The most appropriate nursing diagnosis for the child with acute glomerulonephritis is:
a. Risk for Injury related to malignant process and treatment.
b. Deficient Fluid Volume related to excessive losses.
c. Excess Fluid Volume related to decreased plasma filtration.
d. Excess Fluid Volume related to fluid accumulation in tissues and third spaces.
ANS: C
Glomerulonephritis has a decreased filtration of plasma. The decrease in plasma filtration results in an excessive accumulation of water and sodium that expands plasma and interstitial fluid volumes, leading to circulatory congestion and edema. No malignant process is involved in acute glomerulonephritis. A fluid volume excess is found. The fluid accumulation is secondary to the decreased plasma filtration, not fluid accumulation.
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