17 Chronic Renal Failure Nursing Care Plans


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

Risk for Infection

Risk for Infection: At increased risk for being invaded by pathogenic organisms.

May be related to

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

Possibly evidenced by

  • [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
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
Identifies the presence and type of microorganism responsible for infection and specific sensitivities to antibiotic
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.

See Also

You may also like the following posts and care plans:

Genitourinary Care Plans

Care plans related to the reproductive and urinary system disorders:

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