A patient with acute glomerulonephritis has reduced urine output, periorbital edema, and a blood pressure of 170/100 mmHg. Which finding should the nurse report first?
Correct answer: C. Blood pressure of 170/100 mmHg
- A. Mild periorbital edema
- B. Urine that appears tea coloured
- C. Blood pressure of 170/100 mmHg
- D. Reduced appetite during breakfast
Explanation
Severe hypertension can cause complications such as encephalopathy, heart failure, or seizures, so it requires prompt reporting. Tea-coloured urine, edema, and reduced appetite are also associated findings but are less immediately dangerous than the markedly raised blood pressure.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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