Difficulty: Medium
Average Score: 85%
Simulated
Passage / Scenario
A child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour.A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Correct answer
B
Rationale
The correct answer is B: Check the child's daily weight. In acute glomerulonephritis, monitoring daily weight is crucial to assess fluid balance and kidney function. Sudden weight gain could indicate fluid retention, a common complication. Maintaining a saline-lock (A) is important but not the priority. Educating parents about complications (C) is essential but not immediate. Placing the child on a no-salt-added diet (D) is beneficial, but monitoring weight is more urgent.