This document presents a detailed nursing care plan for David Smith, a patient admitted with acute on chronic renal failure. The assignment begins with a discussion of three priority assessments: physical, fluid, and skin assessments, explaining their necessity and the consequences of inaccurate completion. The physical assessment focuses on vital signs and pain, the skin assessment addresses skin integrity and potential infections, and the fluid assessment evaluates kidney function through blood and urine tests. The assignment then outlines a comprehensive nursing care plan addressing three key problems: acute pain related to right flank pain, risk of fluid imbalance due to chronic kidney disease, and risk of infection due to IVC insertion and diabetes. Each nursing problem includes specific goals, interventions with rationales, and evaluation criteria. The care plan emphasizes pain management, fluid balance monitoring, and infection prevention strategies, considering David Smith's medical history of chronic kidney disease, diabetes, and venous leg ulcers.
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