Difficulty: Medium
Average Score: 73%
Simulated
The nurse is reviewing the medical record of the school-aged child with AGN and finds that the child has proteinuria on UA and an elevated serum BUN, creatinine, and uric acid levels. The child has had an elevated BP and low urine output for 24 hours. What should the nurse do first?
Correct answer
C
Rationale
Hypertensive encephalopathy is a major complication during the acute phase of AGN. The child's neurological status should be assessed first, as findings may affect the treatment plan. The HCP should be contacted after assessment. Fluids are usually limited due to failing renal function. Documenting is important but not the priority.