Nursing care of patients with glomerulonephritis involves observing for complications and protecting the kidneys from further damage.

Nursing personnel should do the following:

a. Monitor vital signs.

b. Encourage bedrest.

c. Observe strict I & O.

d. Check weight daily.

e. Observe for signs of impending renal failure.

(1) Lethargy.

(2) Nausea and vomiting.

(3) Oliguria or anuria.

f. Implement and enforce ordered fluid and diet modifications.

(1) Protein restriction (for impaired renal function).

(2) Sodium restriction (if edema is present).

(3) Fluid restriction (if edema is present).

(4) Increased dietary carbohydrate (to provide energy and reduce the metabolism of protein).