A nursing instructor is talking with her clinical group about patients with acute glomerulonephritis. The instructor tells the students that the patient may exhibit which of the following clinical manifestations?
A) Hematuria
B) Decrease in serum creatinine levels
C) Hypotension
D) Glucosuria
Ans: A
Feedback: The primary presenting feature of acute glomerulonephritis is hematuria (blood in the urine), which may be microscopic (identifiable through microscopic examination) or macroscopic or gross (visible to the eye). Proteinuria, primarily albumin, which is present, is due to increased permeability of the glomerular membrane. Blood urea nitrogen (BUN) and serum creatinine levels may rise as urine output drops. The patient may be anemic primarily from fluid retention. Some degree of edema and hypertension is noted in 75% of patients
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