An adult client with acute glomerulonephritis is experiencing fatigue, anorexia, and blood pressure of 140/94. What should the nurse identify as the initial goal for this client's treatment?
1. To reduce the hypertension
2. Urinary output of at least 3000 mL daily
3. Providing a 5000-calorie daily diet
4. Energy conservation and bed rest during the acute phase
Answer: 4
1. If present, hypertension should be controlled, but the blood pressure elevation is not severe.
2. A urine output of 3 liters per day is not realistic.
3. The client does not need a 5000-calorie diet.
4. Preservation of renal function is a primary goal; bed rest lowers metabolic demands on the body and conserves energy reserves.
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