The health care provider asks the nurse to monitor a client with hypertension for signs of kidney damage. Which clinical manifestation would indicate kidney damage?
1. Urine output of 30 mL/hr
2. Proteinuria
3. Dysuria
4. Estimated glomerular filtration rate of 105
Correct Answer: 2
Rationale 1: Urine output of 30 mL/hour is considered normal.
Rationale 2: Proteinuria is a very common sign of kidney damage due to hypertension.
Rationale 3: Dysuria is not a sign of kidney damage.
Rationale 4: GFR of 105 is considered normal.
Global Rationale: Proteinuria is a very common sign of kidney damage due to hypertension. Urine output of 30 mL/hour and a GFR of 105 are both considered normal. Dysuria is not a sign of kidney damage.
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