A nurse is caring for a 4-year-old child who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

Choice A: Placing the child on a no-salt-added diet is an important intervention for acute glomerulonephritis, as salt can increase fluid retention and blood pressure. However, this is not the priority action, as it does not address the immediate problem of fluid overload.

Choice B: Maintaining a saline lock is a useful measure for acute glomerulonephritis, as it allows for easy access to administer fluids or medications if needed. However, this is not the priority action, as it does not monitor the fluid status of the child.

Choice C: Educating the parents about potential complications is an essential part of nursing care for acute glomerulonephritis, as it can help them recognize signs of worsening conditions and seek timely medical attention. However, this is not the priority action, as it does not assess the current condition of the child.

Choice D: Checking the child's daily weight is the priority action for acute glomerulonephritis, as it is the most accurate indicator of fluid balance and kidney function. A sudden increase in weight can indicate fluid retention and edema, which can lead to heart failure or pulmonary edema. A decrease in weight can indicate dehydration or diuresis, which can lead to hypovolemia or electrolyte imbalance.

Choice A reason: This choice is incorrect because the loss of a parent is not the priority risk factor for suicide completion. Loss of a parent is a stressful life event that may cause grief, depression, or anxiety in an adolescent, but it does not necessarily increase the risk of suicide completion. However, the loss of a parent may be associated with other risk factors such as low self-esteem, poor coping skills, or social isolation, which can contribute to suicidal ideation or behavior.
Choice B reason: This choice is incorrect because a history of substance abuse is not the priority risk factor for suicide completion. History of substance abuse is a behavioral problem that may impair the judgment, mood, or impulse control of an adolescent, but it does not necessarily increase the risk of suicide completion. However, a history of substance abuse may be associated with other risk factors such as mental illness, family conflict, or legal trouble, which can contribute to suicidal ideation or behavior.
Choice C reason: This choice is correct because a previous suicide attempt is the priority risk factor for suicide completion. Previous suicide attempt is a clear indicator of suicidal intent and capability, and it increases the likelihood of future attempts and completion. According to the American Foundation for Suicide Prevention (AFSP), about 40% of people who die by suicide have a history of previous attempts. Therefore, assessing and addressing previous suicide attempts is essential to prevent further harm and save lives.
Choice D reason: This choice is incorrect because active psychiatric disorder is not the priority risk factor for suicide completion. Active psychiatric disorder is a mental health condition that may affect the thoughts, feelings, or behaviors of an adolescent, but it does not necessarily increase the risk of suicide completion. However, active psychiatric disorder may be associated with other risk factors such as hopelessness, helplessness, or isolation, which can contribute to suicidal ideation or behavior.