RNSG 2432 Enhanced Concepts of Adult Health

Module 13:  Nursing Care of the Individual Experiencing a Genitourinary Disorder:  Chronic Kidney Disease/Transplant


Module Objectives:  

Utilizing critical thinking and the nursing process, the student is expected to:

  1. Compare and contrast risk factors associated with chronic kidney disease.
  1. Analyze the etiology and pathophysiology of chronic kidney disease.
  1. Analyze the signs and symptoms and complications of chronic kidney disease:
  • Cardiovascular
  • Hematologic
  • Immune system
  • Gastrointestinal
  • Neurologic
  • Musculoskeletal
  • Endocrine and Metabolic
  • Dermatologic
  1. Integrate the diagnostic tests with the etiology, pathophysiology, and signs and symptoms for CKD.:
  • Urinalysis/culture;
  • Blood studies: BUN, creatinine, electrolytes, CBC
  • Creatinine clearance
  • Renal ultrasonography
  • Kidney biopsy
  1. 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
  • Other
  1. Formulate client and family centered goals that assist toward health promotion, maintenance, and/or restoration.
  1. Prioritize and evaluate nursing interventions related to:
  • Drug therapy
    • Diuretics
    • Antihypertensives
    • Medications to manage electrolyte imbalances: oral phosphorus binding agents; other
  • Diet therapy
    • fluid management
    • Increase carbohydrates
    • Restrictions:
      • dietary protein
      • water and sodium
      • potassium
      • phosphorus
  • 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
  1. Evaluate and revise goals and modify the nursing care plan specific to the individual experiencing chronic renal failure.
  1. Integrate associated issues and trends into nursing practice.
  • Legal
  • Ethical considerations

Learning Activities:

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:

Web sites/References

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