A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Explanation & Rationale
A. Decreased blood pressure: In acute glomerulonephritis, fluid retention and sodium accumulation often lead to hypertension rather than hypotension. Decreased blood pressure would be unusual and could indicate another underlying issue. B. Pale yellow urine: Clients typically present with hematuria, which causes tea-colored or cola-colored urine, not pale yellow. The discoloration results from red blood cells leaking into the urine due to glomerular inflammation. C. Periorbital edema: Fluid retention is common in acute glomerulonephritis, particularly in the face and around the eyes. Edema results from decreased glomerular filtration and sodium/water retention, making periorbital swelling a classic and expected finding. D. Increased urination: Oliguria, or decreased urine output, is more typical in acute glomerulonephritis due to impaired renal function. Polyuria is not usually associated with this condition unless complications like diabetes insipidus are present.