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?

A. Encourage frequent ambulation.: Clients with acute glomerulonephritis often require bed rest during the acute phase to reduce metabolic waste production and decrease the workload on the kidneys. Excessive physical activity can increase protein breakdown and elevate blood pressure, further straining the inflamed glomeruli. Activity is gradually increased only as the hematuria and hypertension begin to resolve. B. Place the client on a low-sodium diet.: Glomerulonephritis causes impaired filtration leading to the retention of sodium and water, resulting in edema and hypertension. Restricting dietary sodium intake helps minimize fluid volume excess and reduces the workload on the cardiovascular system. This nutritional intervention is a cornerstone in managing the clinical manifestations of glomerular inflammation. C. Obtain weekly weight.: In the presence of acute fluid shifts and edema, weekly weights are insufficient for monitoring the client’s status. Daily weights are the most sensitive indicator of fluid retention or the effectiveness of diuretic therapy. Standard nursing care for renal inflammation requires weight measurement at the same time every morning to detect subtle changes. D. Encourage increased fluid intake.: Due to the reduction in glomerular filtration rate and the risk of circulatory overload, clients are usually placed on a fluid restriction. Adding extra fluid would exacerbate edema, hypertension, and the risk of pulmonary congestion. Fluid intake is typically calculated based on urine output and insensible losses to maintain a precise balance.