A nurse expects which finding in a child client with acute glomerulonephritis?

A nurse expects which finding in a child client with acute glomerulonephritis?

• A. Pallor
• B. Periorbital edema
• C. Rapid weight loss
• D. Increased appetite

Answer: (B)

In a child with acute glomerulonephritis, periorbital edema is a common and significant finding. This condition causes inflammation of the glomeruli in the kidneys, leading to impaired kidney function and changes in fluid retention. One of the hallmark signs of this retention is swelling around the eyes, known as periorbital edema, which occurs due to the kidneys' inability to filter out excess fluids properly. This edema is often noticeable upon waking, as it can worsen overnight, and it suggests that the kidneys are struggling to manage fluid balance. The presence of periorbital edema can also be indicative of the underlying pathophysiology of glomerulonephritis, as it is associated with proteinuria—loss of protein in urine, which can lead to lower oncotic pressure and subsequent fluid leakage into interstitial spaces. In contrast, pallor may result from anemia or other conditions but is not specific to glomerulonephritis. Rapid weight loss could be seen in other medical issues but is not typically associated with this condition, where weight might actually increase due to fluid retention. Increased appetite would also not align with the common presentation of acute glomerulonephritis, as children may have a decreased appetite due

In a child with acute glomerulonephritis, periorbital edema is a common and significant finding. This condition causes inflammation of the glomeruli in the kidneys, leading to impaired kidney function and changes in fluid retention. One of the hallmark signs of this retention is swelling around the eyes, known as periorbital edema, which occurs due to the kidneys' inability to filter out excess fluids properly.

This edema is often noticeable upon waking, as it can worsen overnight, and it suggests that the kidneys are struggling to manage fluid balance. The presence of periorbital edema can also be indicative of the underlying pathophysiology of glomerulonephritis, as it is associated with proteinuria—loss of protein in urine, which can lead to lower oncotic pressure and subsequent fluid leakage into interstitial spaces.

In contrast, pallor may result from anemia or other conditions but is not specific to glomerulonephritis. Rapid weight loss could be seen in other medical issues but is not typically associated with this condition, where weight might actually increase due to fluid retention. Increased appetite would also not align with the common presentation of acute glomerulonephritis, as children may have a decreased appetite due