A nurse evaluates a client with acute glomerulonephritis (GN). Which manifestation should the nurse recognize as a positive response to the prescribed treatment?
a. The client has lost 11 pounds in the past 10 days.
b. The client's urine specific gravity is 1.048.
c. No blood is observed in the client's urine.
d. The client's blood pressure is 152/88 mm Hg.
ANS: A
Fluid retention is a major feature of acute GN. This weight loss represents fluid loss, indicating that the glomeruli are performing the function of filtration. A urine specific gravity of 1.048 is high. Blood is not usually seen in GN, so this finding would be expected. A blood pressure of 152/88 mm Hg is too high; this may indicate kidney damage or fluid overload.
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