A nurse is assessing a client with acute glomerulonephritis (AGN). Which of the following findings would the nurse expect to observe?
Explanation & Rationale
Rationale: A. Increased urine output and dry skin are not typical of acute glomerulonephritis. AGN often causes oliguria (reduced urine output) due to inflammation and damage to the glomeruli, which impairs the kidneys’ ability to filter blood effectively. Dry skin may indicate dehydration, which is not a hallmark of AGN. B. Clear urine with no protein is inconsistent with AGN. Clients with AGN usually exhibit hematuria (blood in the urine), proteinuria (protein in the urine), and possibly smoky or cola-colored urine due to glomerular damage. Clear urine indicates normal filtration and is not expected in this condition. C. Elevated blood pressure and periorbital edema are classic findings in AGN. Inflammation of the glomeruli leads to fluid retention and sodium accumulation, which increases blood volume and raises blood pressure. Edema often first appears around the eyes (periorbital) and may progress to generalized edema. These findings reflect the kidney’s impaired ability to excrete fluid and maintain electrolyte balance. D. Weight loss and dehydration are not typical in AGN. Clients more often experience fluid retention and weight gain due to edema. Dehydration may occur only if the client has severe vomiting or poor intake, which is not a primary feature of AGN.