Author Question: When planning care for the client with acute renal failure, the nurse selects ineffective breathing ... (Read 108 times)

swpotter12 · **on:** Jul 22, 2018

When planning care for the client with acute renal failure, the nurse selects ineffective breathing pattern as a nursing diagnosis. Which of the following assessment data by the nurse validate the nursing diagnosis selected?

1. Generalized edema
2. Wheezing in the lungs
3. Bowel sounds positive in 3 quadrants
4. Generalized weakness

Question 2

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.

Anna · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. Generalized edema

Rationale:
The client in acute renal failure will likely be edematous as the kidneys are not producing urine. Wheezing in the lungs is an assessment consistent with asthma. Bowel sounds in 3 quarters are not related to kidney failure. Generalized weakness may be due to whatever disease process precipitated the renal failure.

Answer to Question 2

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.