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To ensure optimum care for a patient with acute glomerulonephritis, the nurse's plan of care should include:

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 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 and indicated, and bed rest or activity restriction.

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

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