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19.Which is the most appropriate nursing diagnosis for the child with acuteglomerulonephritis?a.Risk for Injury related to malignant process and treatmentb.Fluid Volume Deficit related to excessive lossesc.Fluid Volume Excess related to decreased plasma filtrationd.Fluid Volume Excess related to fluid accumulation in tissues and third spacesANS: CGlomerulonephritis has a decreased filtration of plasma, which results in an excessiveaccumulation of water and sodium that expands plasma and interstitial fluid volumes, leadingto circulatory congestion and edema. No malignant process is involved in acuteglomerulonephritis. A fluid volume excess is found. The fluid accumulation is secondary tothe decreased plasma filtration.
PTS:1DIF:Cognitive Level: AnalyzeREF:915TOP:Integrated Process: Nursing Process: Nursing DiagnosisMSC:Area of Client Needs: Physiologic Integrity: Physiologic Adaptation20.The nurse is admitting a child with a Wilms tumor. Which is the initial assessmentfinding associated with this tumor?
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PTS:1DIF:Cognitive Level: UnderstandREF:917TOP:Integrated Process: Nursing Process: AssessmentMSC:Area of Client Needs: Physiologic Integrity: Physiologic Adaptation21.Which is the most common cause of acute renal failure in children?
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PTS:1DIF:Cognitive Level: UnderstandREF:919TOP:Integrated Process: Nursing Process: Assessment
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MSC:Area of Client Needs: Physiologic Integrity: Physiologic Adaptation22.The nurse is conducting an admission assessment on a school-age child with acuterenal failure. Which are the primary clinical manifestations the nurse expects to find with thiscondition?
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PTS:1DIF:Cognitive Level: UnderstandREF:919TOP:Integrated Process: Nursing Process: AssessmentMSC:Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
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Nephrology, Cognitive Level, Chronic Renal Failure, Physiologic Integrity
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Elementary and Intermediate Algebra
Tussy/Gustafson
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