Nursing interventions focus on patient education about the disease process, explanation of laboratory and other diagnostic tests, and preparation for safe and effective self-care at home. Patient education is directed toward symptom manage ment and monitoring for complications. Fluid and diet restriction must be reviewed with the patient to avoid worsening of edema and hypertension. The patient is instructed to notify the primary care provider if symptoms of renal failure occur including fatigue, nausea, vomiting , diminishing urine output or at the first sing of any infection. Information is given verbally and in writing.