A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurse's best response?
a. Blood pressure will stabilize.
b. Your child will have more energy.
c. Urine will be free of protein.
d. Urine output will increase.
ANS: D
The first sign of improvement in acute glomerulonephritis is an increase in urinary output with a corresponding decrease in body weight. With diuresis, the child begins to feel better, the appetite improves, and the blood pressure decreases to normal with the reduction of edema. Gross hematuria diminishes, in part because of dilution of the red blood cells in the more dilute urine. Renal function and hypocomplementemia usually normalize by 8 weeks.
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