Final answer:
In a client with chronic glomerulonephritis and oliguria, hypertension is the correct manifestation among the given options. This condition leads to various symptoms including increased blood pressure due to the reduced kidney filtration and excretion functions.
Step-by-step explanation:
The student is asking about the manifestations of chronic glomerulonephritis, which is an inflammation of the glomeruli of the nephrons. Among the options provided, the correct manifestation to identify in a client with chronic glomerulonephritis and oliguria is hypertension. This condition includes symptoms like excessive protein and blood in urine and increased blood pressure due to the kidney damage, leading to reduced filtration and excretion capabilities.
Conditions such as nephrotic syndrome involve damage to the glomeruli, permitting protein to enter the urine in large quantities. This typically results in swelling, low serum albumin, and high cholesterol levels. When kidney function is impaired, we observe symptoms such as abnormal fluid levels, acid-base imbalance, electrolyte disturbances, and in chronic conditions, anemia. Oliguria, the low urine output mentioned in the scenario, is also indicative of the decreased kidney function associated with glomerulonephritis. Biochemically, kidney damage is often evidenced by elevated serum creatinine.