nursing diagnosis

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I already have 2 ND for my patient and I am having trouble coming up with the third. My pt was transfered to my hospital for a kidney biopsy. She has stage 3 kidney disease along with other things. I am using unstable glusose and risk for injury related to the other issues but i dont know where to go with the renal issues. Her abnormal labs where:

albumin-low

creatinine-high

calcium-low

chloride-high

BUN-high

RBC-low

HGB-low

HCT-low

I was think about something with fluid volume but she has no apparent edema. Could she still be excess fluid or risk for imbalanced fluid volume? She is not having issues with urination. Any help would be greatly appreciated!

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Specializes in Med/Surg, Ortho, ASC.

Best to post on the student forum for help/interaction with your homework quesitons.

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If she has not problems with urination nor does she show edema, why would she have excess fluid volume? Remember that each DX is related to a process and manifested by symptoms - if there are no symptoms of fluid volume excess then you can't have a nursing Dx of it.

What other nursing dx's do you got so far?

Edit: Just saw that you have the other nursing dx's.

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Potential for fluid imbalance? Not actual....but still worth a look at :)

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Right off the bat, I see electrolyte imbalance and anemia. I'd go with DXs related to those.

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Specializes in Emergency, Telemetry, Transplant.

Not going to mention specific dxs., but remember the importance of physical assessment findings in coming up with diagnoses, not just lab values.

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Specializes in Intermediate care.

Anticipatory grieving! its good to have a psychosocial one in the mix.

Stay away from "at risk for". NCLEX doesn't like at risk for, and neither do professors.

Or, if you don't want any psychosocial ones. "Electrolyte imbalance" i'd like to know her sodium/potassium/magnesium as well.

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Think about her poor kidney function and what that does to the body...

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Specializes in NICU, Psych, Education.
Not going to mention specific dxs., but remember the importance of physical assessment findings in coming up with diagnoses, not just lab values.

This. Lung sounds, heart tones, mental status, skin turgor, grip strength, abdominal exam, vitals, weight - these are some basic assessment pieces that may point in a particular direction for a nursing diagnosis.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Try here....

http://www.pterrywave.com/nursing/care%20plans/Nursing%20Care%20Plans%20TOC.aspx

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