A nurse is performing a physical assessment for a school-age child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A. Decreased blood pressure: Acute glomerulonephritis typically causes fluid retention and increased vascular resistance, leading to elevated blood pressure rather than decreased blood pressure. Hypertension is a common finding due to impaired kidney function. B. Weight loss: Clients with acute glomerulonephritis often experience fluid retention, resulting in weight gain rather than weight loss. Edema and increased extracellular fluid volume contribute to this weight gain. C. Elevated serum protein levels: Serum protein levels are usually decreased in acute glomerulonephritis because protein is lost in the urine (proteinuria). This loss reduces the overall serum protein concentration, especially albumin. D. Tea-colored urine: Tea-colored or cola-colored urine is a classic sign of acute glomerulonephritis. It results from hematuria caused by red blood cells leaking through the inflamed glomeruli into the urine, giving it a dark, discolored appearance.