A major complication in a child with chronic renal failure is: ...

[notis]

A major complication in a child with chronic renal failure is:
 
  a. Hypokalemia.
  b. Metabolic alkalosis.
  c. Water and sodium retention.
  d. Excessive excretion of blood urea nitrogen.

Question 2

A child is admitted with acute glomerulonephritis. The nurse would expect the urinalysis during this acute phase to show:
 
  a. Bacteriuria and hematuria.
  b. Hematuria and proteinuria.
  c. Bacteriuria and increased specific gravity.
  d. Proteinuria and decreased specific gravity.

[31809pancho]

Answer to Question 1

ANS: C
Chronic renal failure leads to water and sodium retention, which contributes to edema and vascular congestion. Hyperkalemia, metabolic acidosis, and retention of blood urea nitrogen are complications of chronic renal failure.

Answer to Question 2

ANS: B
Urinalysis during the acute phase characteristically shows hematuria and proteinuria. Bacteriuria and changes in specific gravity are not usually present during the acute phase.