The nurse is caring for a patient diagnosed with acute hepatic dysfunction. Which of the following clinical findings would indicate to the nurse that the patient is developing hepatorenal syndrome?
1. decrease in PT
2. blood pressure 136/88 mm Hg
3. glomerular filtration rate reduced from 58% to 36%
4. urine output 45 cc/hour
3
Rationale: One clinical characteristic of hepatorenal syndrome is a decreasing glomerular filtration rate. The patient's glomerular filtration rate decreased from 58% to 36% which would indicate to the nurse that the patient is developing hepatorenal syndrome. A decrease in PT would be an improvement in liver functioning. A blood pressure of 136/88 mm Hg does not provide enough information. A urine output of 45 cc/hour is within the normal limits of urine output.
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