A nurse is caring for an adolescent who has acute glomerulonephritis. Which of the following actions should the nurse take?

Care for acute glomerulonephritis involves applying knowledge of renal pathophysiology, fluid balance, and inflammatory responses. The nurse must focus on monitoring for fluid volume excess and hypertension, which are primary complications resulting from decreased glomerular filtration and sodium and water retention. Choice A rationale Protein intake is often restricted or maintained at normal levels during acute glomerulonephritis to reduce the accumulation of nitrogenous waste products. Excessive protein intake can strain the kidneys as they struggle to filter metabolic byproducts during inflammation. Choice B rationale Daily weights provide the most accurate assessment of fluid status and edema. Because this condition involves significant fluid retention, monitoring weight changes at the same time each day is essential for evaluating renal function and treatment efficacy. Choice C rationale Avoiding abdominal palpation is a specific precaution for Wilms' tumor to prevent capsule rupture. It is not a standard restriction for glomerulonephritis. The nurse should focus on monitoring cardiovascular and renal indicators during the physical assessment. Choice D rationale Blood pressure should be monitored much more frequently than every 8 hours, often every 4 to 6 hours. Acute hypertension is a common and serious complication of glomerulonephritis that requires vigilant monitoring and prompt medical intervention.