PE. Normotensive with facial pitting edema, free ascitic fluid in the peritoneal cavity that is shifting. Fundoscopic exam was normal.

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,

Imaging: N/A

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)

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