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. Encourage increased fluid intake is incorrect because clients with acute glomerulonephritis often have fluid retention and may develop edema or hypertension. Excess fluid intake can worsen these complications. Fluid intake is typically restricted based on urine output and degree of edema. B. Encourage frequent ambulation is incorrect because while activity may be encouraged as tolerated, the primary concern in acute glomerulonephritis is managing fluid balance, hypertension, and kidney function. Ambulation does not directly address these issues. C. Place the client on a low-sodium diet is correct because limiting sodium intake helps reduce fluid retention, edema, and hypertension. Sodium restriction is an essential part of managing clients with acute glomerulonephritis to decrease cardiac and renal workload. D. Obtain weekly weight is incorrect because in acute glomerulonephritis, daily weights are preferred to closely monitor fluid retention and detect worsening edema or hypertension promptly. Weekly weights are insufficient for timely intervention.