A four-year-old has acute glomerulonephritis (AGN) and is ...

[haleyc112]

A four-year-old has acute glomerulonephritis (AGN) and is admitted to the hospital. The priority nursing diagnosis for this child would be:
 
  1. Risk for injury related to hypertension.
  2. Altered growth and development related to a chronic disease.
  3. Risk for infection related to hypertension.
  4. Fluid volume excess related to decreased plasma filtration.

Question 2

A child is admitted to the hospital with a diagnosis of lead poisoning. The health department nurse is investigating the child's home to locate the source of the lead that the child has ingested.
 
  Which possibilities will the nurse investigate? Standard Text: Select all that apply. 1. The home's foundation for a possible radon leak
  2. The home's water pipes
  3. The dirt surrounding the house
  4. The presence of imported toys or antique baby furniture
  5. Gas stored in cans

[sokh]

Answer to Question 1

1
Rationale 1: The child with AGN has marked hypertension, which can lead to cardiac failure and cerebral injuries.
Rationale 2: Growth and development are not normally affected because this is an acute process, not a chronic one.
Rationale 3: While a risk for infection might be present, it is not related to the hypertension.
Rationale 4: Although fluid retention occurs, this is not the priority diagnosis.
Global

Answer to Question 2

2,3,4
Rationale 1: Radon is not a source of lead.
Rationale 2: Older water pipes were made from lead, which leaches out into the water.
Rationale 3: Children who eat dirt may acquire lead poisoning from eating dirt that has been coated with fumes from lead gas.
Rationale 4: Toys imported from other countries and old furniture may have lead paint. The child can be exposed if he puts his mouth on these objects.
Rationale 5: Most gas is now not lead-based. If the child were to drink the gas from the cans, the problem would be the hydrocarbons, not the lead.
Global Rationale:

[haleyc112]

Excellent

[T4T]

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