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To ensure optimum care for a client with acute glomerulonephritis, the nurse's plan of care should include which of the following?

Explanation

• Glomerulonephritis comprises a specific set of renal diseases that causes damage to glomerulus from an immune reaction that results in proliferation and inflammatory changes within the glomerular tissue.

• Acute glomerulonephritis is most often caused by a streptococcal infection such as impetigo or strep throat, but it may be caused by chlamydia, klebsiella pneumonia, or others.

• Acute glomerulonephritis occurs ten days after the initial infection.

• Treatment requires antibiotics to eliminate the infection, corticosteroids and/or immunosuppressive agents to dampen the immune response, as well as diuretics to treat volume overload and hypertension.

• Fluid and sodium restriction and a low protein diet as indicated, and bed rest or activity restriction.

• Assessments include daily weights, I&O, serum potassium, BUN, and creatinine.

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