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    Ati lpn 112 med surg proctored exam (urinary)

    A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse recommend including in the plan of care?

    Explanation & Rationale

    A. Obtain weekly weight: In acute glomerulonephritis, fluid retention can occur rapidly, leading to edema and hypertension. Daily weight monitoring, rather than weekly, is more appropriate to closely track fluid status and detect early signs of fluid overload. B. Encourage increased fluid intake: Clients with acute glomerulonephritis often experience oliguria or fluid retention. Encouraging increased fluid intake could exacerbate edema, hypertension, and risk of pulmonary congestion, so fluids are usually restricted based on urine output and clinical status. C. Encourage frequent ambulation: While mobility is generally beneficial, frequent ambulation is not a primary intervention for acute glomerulonephritis. The main focus is on managing fluid balance, blood pressure, and preventing complications related to kidney dysfunction. D. Place the client on a low-sodium diet: Sodium restriction helps reduce fluid retention, edema, and hypertension, which are common in acute glomerulonephritis. Limiting dietary sodium supports cardiovascular stability and assists in managing the client’s overall fluid balance, making it an essential part of the plan of care.

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