Which is the most common cause of acute renal failure in ...

[joesmith1212]

Which is the most common cause of acute renal failure in children?
 
  a. Pyelonephritis
  b. Tubular destruction
  c. Urinary tract obstruction
  d. Severe dehydration

Question 2

The nurse is admitting a child with a Wilms tumor. Which is the initial assessment finding associated with this tumor?
 
  a. Abdominal swelling
  b. Weight gain
  c. Hypotension
  d. Increased urinary output

[Tabitha_2016]

Answer to Question 1

ANS: D
The most common cause of acute renal failure in children is dehydration or other causes of poor perfusion that may respond to restoration of fluid volume. Pyelonephritis and tubular destruction are not common causes of acute renal failure. Obstructive uropathy may cause acute renal failure, but it is not the most common cause.

Answer to Question 2

ANS: A
The initial assessment finding with a Wilms (kidney) tumor is abdominal swelling. Weight loss, not weight gain, may be a finding. Hypertension occasionally occurs with a Wilms tumor. Urinary output is not increased, but hematuria may be noted.