NURSING MANAGEMENT
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Assess and document the location and character of the patient's edema.
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Weigh the patient each morning after he voids and before he eats, make sure he'swearing the same amount of clothing each time you weigh him.
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Measure blood pressure with the patient lying down and standing. Immediatelyreport a decrease in systolic or diastolic pressure exceeding 20 mm Hg.
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Monitor intake and output
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Ask the dietitian to plan a low-sodium diet with moderate amounts of protein.
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Frequently check urine for protein
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Provide meticulous skin care to combat the edema that usually occurs withnephrotic syndrome
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Use a reduced-pressure mattress or padding to help prevent pressure ulcers.
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To prevent the occurrence of thrombophlebitis, encourage activity and exercis
and provide antiembolism stockings as ordered
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Give the patient and family reassurance and support, especially during the acutephase, when edema is severe and the patient's body image changes.