A nurse is planning care for a school-age child who has acute glomerulonephritis. Which of the following interventions should the nurse include?

Acute glomerulonephritis is an inflammatory condition of the glomeruli, often following a streptococcal infection, which leads to impaired kidney filtration and fluid retention. Common manifestations include hematuria, edema, oliguria, and hypertension due to sodium and water retention. Nursing care focuses on monitoring fluid balance, controlling blood pressure, and preventing complications such as fluid overload and renal impairment. Close cardiovascular and renal monitoring is essential for safe management. Rationale: A. Collecting and straining all urine for sediment is not routinely required in acute glomerulonephritis. Urine is monitored for output, color, and presence of blood or protein, but straining is more commonly used for detecting calculi. In this condition, the primary concern is renal function and fluid balance rather than sediment collection. B. Increasing fluid consumption is not appropriate because clients with acute glomerulonephritis often experience fluid retention and decreased urine output. Excess fluid intake can worsen edema and hypertension. Fluid restriction is typically considered based on the severity of oliguria and fluid overload. C. Monitoring blood pressure every 4 hours is essential because hypertension is a common and potentially serious complication of acute glomerulonephritis. Increased fluid volume and sodium retention can elevate blood pressure, increasing the risk of cerebral or cardiovascular complications. Frequent monitoring allows early detection and management of worsening hypertension. D. Implementing a protein-restricted diet is not routinely indicated in acute glomerulonephritis unless there is significant renal impairment. Protein restriction is more commonly associated with chronic kidney disease rather than acute, reversible inflammation. Dietary management in this condition primarily focuses on sodium restriction to control edema and blood pressure.