The client with glomerular nephritis has a glomerular filtration rate (GFR) of 40 mL/min, as measured by a 24-hour creatinine clearance. What is the nurse's interpretation of this finding?
A. Excessive glomerular filtration rate, client at risk for dehydration
B. Excessive glomerular filtration rate, client at risk for fluid overload
C. Reduced glomerular filtration rate, client at risk for dehydration
D. Reduced glomerular filtration rate, client at risk for fluid overload
D
The glomerular filtration rate refers to the initial amount of urine that the kidneys filter from the blood. In the healthy adult, the normal glomerular filtration rate ranges between 100 and 120 mL/min, most of which is reabsorbed in the kidney tubules, so that the normal urine output rate averages 30 to 60 mL/hr. A GRF of 40 mL/min is drastically reduced, with the client experienc-ing fluid retention and a risk for hypertension and pulmonary edema as a result of excess vascular fluid.
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MC The nurse is aware that most of the students prefer the fried food choices in the school cafeteria and that the many of the students are considered overweight
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