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    Health And Wellness (Paediatrics 2) mcp Proctored Exam

    Which assessment finding does the nurse expect in a client diagnosed with early acute glomerulonephritis?

    Explanation & Rationale

    A. Dysuria is incorrect because painful urination is not a hallmark of acute glomerulonephritis. Dysuria is more typical of urinary tract infections rather than kidney inflammation caused by glomerular injury. B. Anuria is incorrect because complete absence of urine is uncommon in the early stages of acute glomerulonephritis. Oliguria (reduced urine output) may occur, but anuria is more associated with severe or advanced kidney injury. C. Polyuria is incorrect because increased urine output is not characteristic of acute glomerulonephritis. Early disease usually presents with fluid retention and decreased urine output. D. Hematuria is correct because blood in the urine is one of the earliest and most common signs of acute glomerulonephritis. It may appear as tea-colored or cola-colored urine due to the presence of red blood cells leaking through the inflamed glomeruli. Hematuria is often accompanied by mild proteinuria and edema.

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