A patient with reduced glomerular filtration has a blood pressure of 168/100 mm Hg.The nurse suspects which pathophysiological effect is occurring?
A)Rebound hypertension due to fluid volume deficit
B)Sluggish response by the renin-angiotensin system
C)Kidneys hyper-excreting hydrogen ions
D)Increased renin production causing the retention of water and electrolytes

Question

Quizplus · Accepted Answer

A patient with reduced glomerular filtration and a blood pressure of 168/100 mm Hg is likely experiencing increased renin production, which can cause the retention of water and electrolytes. This is because when the kidneys are not filtering properly, the renin-angiotensin system is often initiated to compensate, leading to an increase in renin production and subsequent retention of fluids and electrolytes. Rebound hypertension due to fluid volume deficit or kidneys hyper-excreting hydrogen ions would not be associated with reduced glomerular filtration. A sluggish response by the renin-angiotensin system would not lead to a blood pressure of 168/100 mm Hg.

A Patient with Reduced Glomerular Filtration Has a Blood Pressure