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

Choice A reason: Encouraging frequent ambulation is not a priority intervention in acute glomerulonephritis. The condition involves inflammation of the glomeruli, often following a streptococcal infection, leading to impaired renal function, fluid retention, and hypertension. Rest and limited activity are recommended to reduce metabolic demands and allow the kidneys to recover. Ambulation does not address the underlying pathology and may worsen fatigue. Choice B reason: Administering antibiotics is the correct intervention. Acute glomerulonephritis often follows a streptococcal throat or skin infection. Antibiotics are essential to eradicate the causative organism, prevent further immune response, and reduce the risk of recurrent infection. This intervention directly targets the underlying etiology and prevents progression of renal damage. Choice C reason: Encouraging increased fluid intake is contraindicated. Clients with acute glomerulonephritis often have reduced urine output, fluid retention, and hypertension. Increasing fluid intake can exacerbate edema and worsen cardiovascular strain. Fluid restriction is typically required to prevent complications. Choice D reason: Obtaining weight weekly is insufficient. Daily weights are necessary to monitor fluid balance and detect subtle changes in edema or fluid retention. Weekly measurements would delay recognition of worsening fluid overload, which can be life-threatening in acute glomerulonephritis.