Assessment Subjective: "walang gana kamain ang anak ko"as verbalize by the client Objective: protein-creatine ration:1.

55 serum albumin of 0.9 g/dl

Diagnosis Imbalanced Nutrition, less than body requirements related to poor appetite, restricted diet, and protein loss.

Scientific Explanation Nephrotic syndrome is a nonspecific disorder in which the kidneys are damaged, causing them to leak large amounts of protein from the blood into the urine. Damage to the glomeruli causes the membrane to become more porous, so that small proteins, such as albumin, pass through the kidneys into urine.Because of the leaking proteins from the blood to the urine, the nutrients needed in her body are being excreted. This causes her to lose the nutrients in the body, making her nutrition less thanbody requirements

Planning Short term: After 8 hours of nurse- patient interaction, the patient will be able to: Identify the appropriate diet for her condition. (Low-sodium diet) b.Follow the diet prescribed. c.Verbalize realization of the importance of proper

die Long term: After 3days of nursing intervetion the patient will be able to increased of appetite and Vital signs, blood pressure, and laboratory serum studies are within normal range.

Nursing intervention 1.Assess and monitor food/fluid ingested therapy needs -Identifies nutritional deficits/

2.Monitor weight daily at same time, same clothing and same scale. -To assess the health status of patient. Same clothing, same time and same scale makes the weight equal/fair than yesterday.

3.Recommend small, frequent meals. Restrict sodium as indicated, and limit fluid intake to 100ml. -Smaller portions may enhance intake

4.Restrict sodium as indicated, and limit fluid intake to 100ml -This electrolyte can quickaccumulate, causing fluid retention, and weakness.

5.Administer multivitamins, as indicated. -Replaces vitamin/mineral deficits resulting from malnutrition

6.Administer medications as appropriate. -Reduces stimulation of the vomiting center

7.Monitor laboratory studies

-To assess development and status

Collaborative: 1.Monitor laboratory and diagnostic study -provide assessment of the progression and management of dysfunction.

2.administer diuretic ass prescribed -to promote adequate urine volume