The practical nurse (PN) identifies an electrolyte imbalance, a generalized edema, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with chronic kidney disease. Which intervention in the plan of care should the PN implement?

A. Encourage a low carbohydrate diet: Carbohydrate restriction does not address fluid retention, edema, or electrolyte imbalances associated with chronic kidney disease and is not the priority intervention in this scenario. B. Use a cushion when sitting: This intervention may help prevent skin breakdown, but it does not address the underlying fluid overload or electrolyte imbalance. C. Perform range of motion exercises: ROM exercises support joint mobility and circulation, but they do not directly manage fluid retention or prevent further complications from electrolyte disturbances. D. Discuss a low sodium diet: Sodium restriction helps manage fluid retention, edema, and blood pressure in clients with chronic kidney disease. Implementing a low-sodium diet directly targets the cause of weight gain and generalized edema, making it the priority intervention.