Final Answer:
The priority in the care plan for a child with acute glomerulonephritis is monitoring for fluid overload, as impaired kidney function can lead to edema and complications. While administering diuretics, restricting dietary sodium, and encouraging bed rest are important aspects of care, vigilant monitoring for fluid overload takes precedence to prevent complications.
The correct answer is a) Monitoring for fluid overload
Step-by-step explanation:
In caring for a 10-year-old child diagnosed with acute glomerulonephritis, the nurse must prioritize monitoring for fluid overload. Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to impaired renal function. One common consequence is the retention of fluids and sodium, resulting in edema and potential complications such as hypertension and respiratory distress.
By closely monitoring for signs of fluid overload, including regular assessments of blood pressure, respiratory rate, and the presence of edema, the nurse can intervene promptly to prevent worsening of the condition. Early recognition of fluid overload allows for adjustments in fluid intake, administration of diuretics as prescribed, and appropriate dietary modifications.
While administering diuretics, restricting dietary sodium, and encouraging bed rest are integral components of the overall care plan, monitoring for fluid overload takes precedence due to its immediate impact on the child's physiological stability. This prioritization aligns with the goal of preventing complications associated with acute glomerulonephritis, ultimately optimizing the child's well-being and supporting the effectiveness of the comprehensive care plan.