Question

A child is being discharged from the emergency with a diagnosis of acute glomerulonephritis. Which of the following measures would a nurse include in the home care plan
1. Restrict fluid intake
2. Weight daily
3. Maintain strict bed rest
4. Limit visitors

Answer 1

Correct Answer - Option 1 : Restrict fluid intake

Explanation

• Glomerulonephritis is the condition in which inflammation or damage to glomerulus.

Etiology and risk factors

• Streptococcal infection.
• Hereditary disease.
• Immune system disorders such as SLE.
• Diabetes and hypertension
• Vasculitis.
• HIV, Hep B and HCV virus
• Endocarditis

Clinical manifestations

• Flank pain
• Foamy urine
• Oliguria, dysuria 
• hematuria
• Hypertension
• Fluid retention.

Management

• Dialysis
• Medications
  • Diuretics
  • Immunosuppressants
  • Anti hypertensives
• Lifestyle changes
  • Sodium and water restriction
  • Potassium, magnesium and phosphorus restriction
  • Reduce protein
  • Increase calcium