A nurse practitioner sees a new patient who reports having a diagnosis of chronic kidney disease for several years. The patient is taking one medication for hypertension which has been prescribed since the diagnosis was made. The NP orders laboratory tests to evaluate the status of this patient. Which laboratory finding indicates a need to refer the patient to a nephrologist?
a. Albumin/creatinine ratio (ACR) of 325 mg/g
b. Blood pressure of 145/85 mm H
c. Glomerular filtration rate (eGFR) of 35
d. Urine red blood cell (RBC) count of 15/hpf



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