The nurse is caring for a client newly admitted to the medical-surgical unit with glomerulonephritis. Which classic manifestations of this disorder should the nurse expect to assess in this client?
Select all that apply.
A) Edema
B) Weight loss
C) Hematuria
D) Acute flank pain
E) Proteinuria
Answer: A, C, E
Hematuria, proteinuria, and edema are the classic signs of glomerular disease because this disorder affects the structure and function of the glomerulus, disrupting glomerular filtration. This increased permeability in the glomeruli leads to plasma proteins being lost in the urine as well as red blood cells. Edema occurs because of the loss of plasma proteins, namely albumin. Acute flank pain is often more characteristic of renal calculi. Weight loss is a nonspecific symptom that can occur with many disorders, but not typically with glomerulonephritis.
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