A client diagnosed with glomerulonephritis is at risk for developing acute kidney injury. Which of the clinical manifestations should the nurse monitor for?

Choice A reason: This response acknowledges the client's feelings and validates their experience. It opens the door for the client to express their emotions and share their thoughts. This empathetic approach helps build trust and provides emotional support.

Choice B reason: Telling the client that it takes time to get over the loss of a loved one is a generalized statement that may not provide the support the client needs. It can come across as dismissive and may not encourage further conversation.

Choice C reason: Suggesting that the client try something to take their mind off their troubles can seem dismissive of their grief. It does not address the client's emotional needs or encourage them to talk about their feelings.

Choice D reason: While this response shows some understanding, it does not fully acknowledge the uniqueness of the client's situation. It is important to validate the client's feelings and encourage them to express their emotions.

Choice A reason: Hypotension (low blood pressure) is not a typical manifestation of the oliguric phase of acute kidney injury. In fact, during this phase, patients are more likely to experience hypertension due to fluid overload.

Choice B reason: Hyperglycemia is not directly related to acute kidney injury. While blood sugar levels can be affected by various factors, they are not a specific manifestation of this condition.

Choice C reason: Weight loss is unlikely in the oliguric phase of acute kidney injury. Instead, patients might experience weight gain due to fluid retention.

Choice D reason: Pulmonary edema is a common manifestation in the oliguric phase of acute kidney injury. This phase is characterized by decreased urine output, leading to fluid overload and subsequent complications such as pulmonary edema, where fluid accumulates in the lungs.