A 4 y/o white male presents with generalized edema and abdominal distention producing respiratory difficulties.
HPI. the child had a URI two weeks ago
PE. Normotensive with facial pitting edema, free ascitic fluid in the peritoneal cavity that is shifting. Fundoscopic exam was normal.
Labs. UA: 4+ proteinemia, hypoalbuminemia, hypercholesterolemia, hypertriglyceridemia with decreased serum ionic calcium. Moderately elevated BUN and Creatinine. Normal complement.
Gross pathology: Kidneys slightly enlarged, elevated, and yellowish,
Micropathophysiology: Nothing of significance, normal renal biopsy (no evidence of immune complex depositions).
3) please provide a long term nursing management protocol for this patient. (2.5 points)