A nurse is assisting in the care of a 10-year-old child. Exhibits Complete the diagram by dragging from the choices below to specify what condition the child is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the child's progress.

Rationale for Correct Choices: Acute glomerulonephritis: The child has classic signs of post-streptococcal glomerulonephritis (APSGN): a history of recent streptococcal infection, periorbital edema, dark brown urine, hypertension, elevated BUN and creatinine, proteinuria, and RBCs in the urine. These findings confirm a renal cause of illness likely due to immune complex deposition in the glomeruli. Restrict sodium intake: Sodium restriction helps reduce fluid retention and hypertension, which are common in glomerulonephritis due to impaired renal excretion. Administer an ACE inhibitor: ACE inhibitors are used to manage hypertension and reduce proteinuria by decreasing glomerular pressure, supporting kidney function in glomerulonephritis. Obtain daily weight: Daily weight is the most sensitive indicator of fluid retention or loss, essential in managing renal conditions and evaluating treatment effectiveness. Monitor urine volume and appearance every shift: Tracking urine output and color helps assess renal function and disease progression or improvement, especially in a child with hematuria and proteinuria. Rationale for Incorrect Choices: Encourage child to increase fluid intake: Fluid intake is typically restricted in glomerulonephritis due to the risk of fluid overload and hypertension, especially when renal output is compromised. Administer nebulized bronchodilators: Although the child has asthma, there are no signs of acute asthma exacerbation (no increased work of breathing, wheezing is mild). The priority is the renal condition. Administer antipyretics: The child is afebrile (temperature 37.2°C), so antipyretics are unnecessary at this time. Monitor oxygen saturation levels every 4 hr: Oxygenation is currently stable (SaO2 96%) and not a primary concern in glomerulonephritis. This is more relevant in respiratory conditions like pneumonia. Monitor peak expiratory flow rate daily: This is specific to asthma management, not indicated here as the child is not in respiratory distress. Obtain temperature every 4 hr: The child is not febrile, and there’s no indication of ongoing infection, so frequent temperature checks are not a priority.