This report presents a comprehensive nursing care plan for a patient diagnosed with acute on chronic renal failure, adhering to the guidelines of NUR251 Assessment 1. The assignment begins with an in-depth nursing assessment, emphasizing the identification of patient needs, the recognition of normal versus abnormal values, and the prioritization of appropriate care interventions. The assessment protocols encompass diuretic administration management, the monitoring of patient potassium levels, and the evaluation of kidney lab values, specifically blood urea nitrogen (BUN) levels, considering the patient's history of pitting edema. The report then details a nursing care plan for a patient named David Smith, addressing key nursing problems such as acute pain, risk of fluid imbalance, risk of infection, anxiety, and impaired skin integrity. Each problem includes specific goals of care, nursing interventions with supporting rationales, and evaluation methods. Furthermore, the report highlights the critical role of patient education in managing acute kidney disease, covering topics such as the management of acute kidney injury, medication management, and the prevention of acute kidney injury progression. The report also includes progress notes from August 26, 2019, detailing the patient's vital signs, pathology assessments, nursing comments, and management strategies, including interventions for hyperkalemia and acidosis. This assignment showcases the application of nursing knowledge in a medical-surgical setting, providing a valuable resource for students and healthcare professionals alike.
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