A 10-year-old with a history of recent respiratory infection has swelling around the eyes in the morning and dark urine. Which of the following should the nurse ask first?
1. “Has the child had a rash and fever?”
2. “Has the child had a sore throat?”
3. “Does the child have any allergies?”
4. “Does the child drink lots of liquids?”
In conjunction with the child’s history of recent respiratory infection and report of dark urine, swelling around the eyes should lead the nurse to suspect acute glomerulonephritis. Therefore, the nurse should ask about a recent sore throat because a child with glomerulonephritis typically would have had a sore throat in the past 10 days. Drinking lots of liquids is unrelated to the periorbital edema.
CN: Physiological adaptation; CL: Analyze