17 Chronic Renal Failure Nursing Care Plans

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Chronic renal failure (CRF) or chronic kidney disease (CKD) is the end result of a gradual, progressive loss of kidney function. The loss of function may be so slow that you do not have symptoms until your kidneys have almost stopped working.

The final stage of chronic kidney disease is called end-stage renal disease (ESRD). At this stage, the kidneys are no longer able to remove enough wastes and excess fluids from the body. At this point, you would need dialysis or a kidney transplant.

Nursing Care Plans

The nursing care planning goal for with chronic renal failure is to prevent further complications and supportive care. Client education is also critical as this is a chronic disease and thus requires long-term treatment.

Below are 17 nursing care plans (NCP) and nursing diagnosis for patients with chronic renal failure or chronic kidney disease:

  1. Risk for Decreased Cardiac Output
  2. Risk for Ineffective Protection
  3. Disturbed Thought Process
  4. Risk for Impaired Skin Integrity
  5. Risk for Impaired Oral Mucous Membrane
  6. Deficient Knowledge
  7. Excess Fluid Volume
  8. Acute Pain
  9. Impaired Renal Tissue Perfusion
  10. Impaired Urinary Elimination
  11. Imbalanced Nutrition: Less than Body Requirements
  12. NEW Activity Intolerance
  13. NEW Disturbed Body Image
  14. NEW Anticipatory Grieving
  15. NEW Risk for Infection
  16. NEW Risk for Injury
  17. Other Possible Nursing Care Plans
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Risk for Infection

Nursing Diagnosis

May be related to

  • Pulmonary edema
  • Metabolic acidosis
  • Uremia
  • Loss of appetite

Possibly evidenced by

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  • [not applicable]

Desired Outcomes

  • Child will not experience infection as evidenced by temperature remains <99° F, normal WBC count, urine and/or blood cultures negative.
Nursing InterventionsRationale
Assess temperature, respiratory and
urinary system changes as the disease
progresses.
Provides information about the presence of infection caused by progressive chronic disease and its deteriorating effect on all systems.
Assess lab results for infection (elevated WBC and positive blood cultures).To prevent and treat an infection.
Secure urine or sputum cultures for
analysis.
Identifies the presence and type of microorganism responsible for infection and specific sensitivities to antibiotic
therapy.
Perform handwashing, medical or
surgical asepsis during procedures or care as appropriate. Instruct child and parents in handwashing technique, proper disposal of tissues and used articles.
Prevents transmission of pathogens to the child.
Administer antibiotic therapy as ordered (specify drug, dose, route, and times).Prevents or treats an infection.
Teach parents and child to decrease
the growth of microorganisms by bathing daily, wiping from front to back after toileting, and wearing loose cotton underwear.
Information empowers parents and child to help prevent infection.
Teach the child to avoid contact with
persons with upper respiratory infections.
Prevents the transmission of infectious agents that may lead to pneumonia.
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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans and nursing diagnoses related to reproductive and urinary system disorders:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
  • Thank you Matt :) This helped me understand how to do a care plan. I was asked to do one without them showing us a sample first so I was completely lost. Thank you!

  • Hi Matt,
    I’m an RN BSN WCC x 25 years. What you’re doing is great. Keep up the good work. Only suggestion is to broaden examples of applicable POC’s in the community. Community nursing is becoming highly skilled. Especially with Covid. In many cases of CKD, in the community, the CG becomes a huge part of the POC. Teach and Assess must be added to POC.
    Keep going! Its not enough for our nursing students to pass the boards. They need to understand critical thinking, and be creative/problem solve now more than ever.
    Best,
    Sue

    • Hi Sue,

      We’ll do our best to include your suggestion on our nursing care plans (which we are currently updating). And I agree: thinking critically is a must skill. Thank you so much for your kind words!

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