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Acute Glomerulo- Nephritis, ((Counsel patients about the need for the…

- - - - Excess fluid volume related to decrease in regulatory mechanisms (renal failure) with the potential of water as evidenced by decreased urinary output
      - 1.Monitor vital signs every 4 hours; and notify any significant changes.
      - R:To provides baseline information for monitoring changes and evaluating the effectiveness of therapy.
      - 2.Auscultate breath sounds for the presence of crackles.
      - R:To observe increased work of breathing, cough, and nasal flaring.Crackles upon auscultation indicate a fluid accumulation resulting in pulmonary congestion.
      - 3.Weigh the child on the same scale at the same time daily. R:Monitor weight gain results from fluid retention; Accurate measurement of intake and output helps assess fluid balance.
      - 4.Measure and record abdominal girth daily.
      - R:Edema normally observed in the abdomen which may increase as the condition progresses.
      - 5.Administer diuretics as prescribed. R:Decreases plasma volume and edema by causing diuresis.
      - 6.Instruct parents to maintain fluid restrictions as indicated.
      - R:The amount of fluid allowed to take depends on the level of kidney function.
      - 8.Elevate edematous body part while the child is in bed or sitting in a chair.
        R:Helps move fluid away from dependent
        body parts through gravity.