Utilizing critical thinking and the nursing process, the student is expected to:
- Compare and contrast risk factors associated with chronic kidney disease.
- Analyze the etiology and pathophysiology of chronic kidney disease.
- Analyze the signs and symptoms and complications of chronic kidney disease:
- Immune system
- Endocrine and Metabolic
- Integrate the diagnostic tests with the etiology, pathophysiology, and signs and symptoms for CKD.:
- Blood studies: BUN, creatinine, electrolytes, CBC
- Creatinine clearance
- Renal ultrasonography
- Kidney biopsy
- Formulate relevant prioritized nursing diagnoses that address physical, psychosocial, and learning needs.
- Impaired tissue perfusion
- Imbalanced nutrition: less than body requirements
- Risk for infection
- Disturbed body image
- Formulate client and family centered goals that assist toward health promotion, maintenance, and/or restoration.
- Prioritize and evaluate nursing interventions related to:
- Drug therapy
- Medications to manage electrolyte imbalances: oral phosphorus binding agents; other
- Diet therapy
- fluid management
- Increase carbohydrates
- dietary protein
- water and sodium
- Surgical/Medical interventions
- Renal replacement therapies: dialysis (hemodialysis; peritoneal dialysis; kidney transplant
- Types of dialysis, management, potential complication, comparison, methods to access
- Renal transplant, tissue matching, potential rejection, immunosuppressive drugs, patient teaching
- Evaluate and revise goals and modify the nursing care plan specific to the individual experiencing chronic renal failure.
- Integrate associated issues and trends into nursing practice.
- Ethical considerations
1. Review module objectives.
2. Learning Resources:
3. Complete Critical Thinking Exercises:
Case study/critical thinking activities:
- *Renal Failure to Transplant (case study)or as PPT (*Instructor developed/review critical elements)
- Ethical Dilemmas-Payment for organs; Lewis, p. 1225
- Ethical Dilemmas-Withdrawing Treatment, Lewis, p. 1194
- Ethical Dilemmas-Payment for ORgans, Lewis- p. 1189
- **HESI RN Patient Reviews (previous PDS): To access > Evolve web site > enter your access code > course ID: 1981_abennett76_0001 & complete :(1) Critical Care:GI: Thompson:LIver Transplant (Excellent, transplant drugs
- View Bill Peckham's Self Dialysis (*most interesting!)
- Peritoneal dialysis YouTube (excellent)
- **CKD/Transplant PPT (Narrated) 08 version
4. Supplemental Learning:
Chronic Renal Failure:
5. Review module objectives and check for knowledge gaps.
6. Complete module quiz
- Blackboard quiz: Renal: CRF (ESRD & Transplant)
- NCLEX Exam Review questions p.1195-1196; Ck rational Lewis Student Resources ch 47 Answer Key
- NCLEX Exam Review questions access Lewis-Student Resources Ch 47; click on Prepare for Exam