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    Ati nurs 114 med surg proctored exam

    A nurse evaluates a client with acute glomerulonephritis (GN). Which assessment finding would the nurse recognize as a positive response to the prescribed treatment?

    Explanation & Rationale

    Rationale: A. A blood pressure of 152/88 mm Hg indicates persistent hypertension, which is a common complication of glomerulonephritis. This finding suggests that the condition has not fully resolved and that further management is needed to control blood pressure. B. Losing 11 lb (5 kg) in 10 days could indicate fluid loss from diuretic therapy, but such a rapid weight reduction may also point to excessive fluid removal or malnutrition. While it might show some improvement in fluid overload, it is not the best indicator of recovery from glomerulonephritis. C. Absence of blood in the urine is a positive sign of improvement. Hematuria is a hallmark symptom of glomerulonephritis caused by inflammation and damage to the glomeruli. Resolution of hematuria indicates decreased inflammation and improved kidney function, showing that the treatment is effective. D. A urine specific gravity of 1.048 is abnormally high, suggesting concentrated urine due to fluid deficit or impaired kidney function. This finding does not reflect improvement and may indicate ongoing renal compromise.

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