This assignment presents a detailed nursing care plan for a patient, David, suffering from acute on chronic renal failure. The care plan addresses key nursing problems including acute pain, risk of fluid imbalance, risk of infection, anxiety, and impaired skin integrity. Each problem includes related factors, goals of care, nursing interventions with rationales, and evaluation metrics. The interventions focus on assessing vital signs, managing pain through pharmacological and non-pharmacological methods, monitoring fluid balance, preventing infection through laboratory result review and medication administration, reducing anxiety through communication and relaxation techniques, and managing a chronic venous leg ulcer. The assignment also emphasizes the importance of patient education, particularly regarding self-care strategies for the leg ulcer and maintaining fluid balance post-discharge. The document provides a comprehensive approach to patient care, emphasizing assessment, intervention, and evaluation to improve patient outcomes.
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