Kidney Disorders Flashcards Chapter 48
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Questions and Answers

What clinical manifestation is characteristic of acute glomerulonephritis?

  • Precipitous decrease in serum creatinine levels
  • Hypotension unresolved by fluid administration
  • Hematuria (correct)
  • Glucosuria
  • What assessment finding should prompt the nurse to inform the health care provider that the client may be exhibiting signs of acute kidney injury (AKI)?

  • Average urine output has been 10 mL/hr for several hours. (correct)
  • Client reports left-sided flank pain.
  • The urine is cloudy and has visible sediment with a foul odor.
  • An inability to initiate voiding for 2 days.
  • Study Notes

    Acute Glomerulonephritis

    • Hematuria is the primary clinical manifestation, indicating blood presence in urine.
    • Hematuria can be microscopic (detected through examination) or macroscopic (visible).
    • Proteinuria, particularly increased levels of albumin, occurs due to heightened glomerular membrane permeability.
    • Blood urea nitrogen (BUN) and serum creatinine levels typically increase as urine output declines.
    • Glucosuria is not associated with glomerulonephritis.
    • Hypertension is common, while hypotension is unlikely in this condition.

    Acute Kidney Injury (AKI)

    • A significant assessment finding for AKI is oliguria, defined as an average urine output of 10 mL/hr or less over several hours.
    • Cloudy urine combined with visible sediment and a foul odor requires further evaluation but is not a definitive indicator of AKI.
    • An inability to initiate voiding for two days can suggest urinary retention but is not specific to AKI.
    • Left-sided flank pain may indicate other underlying issues but is not a direct sign of AKI.

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    Description

    Test your knowledge on the management of patients with kidney disorders through these flashcards. This quiz focuses specifically on acute glomerulonephritis and its clinical manifestations, helping you understand important aspects of patient assessment and care. Perfect for nursing students and healthcare professionals looking to reinforce their learning.

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