Medical Surgical Nursing

dietary restrictions to

renal failure

e. Rationale for treatment

(hemodialysis, peritoneal

dialysis, transplantation)

2. Provide explanation of renal

function and consequences of

renal failure at patient's level of

understanding and guided by

patient's readiness to learn.

3. Assist patient to identify ways to

incorporate changes related to

illness and its treatment into

lifestyle.

4. Provide oral and written

information as appropriate

about:

a. Renal function and

failure

b. Fluid and dietary

restrictions

c. Medications

d. Reportable problems,

signs, and symptoms

e. Follow-up schedule

f. Community resources

g. Treatment options

consequences.

3. Patient can see that his

or her life does not have

to revolve around the

disease.

4. Provides patient with

information that can be

used for further

clarification at home.

regulatory

functions

 States in own

words relationship

of renal failure and

need for treatment

 Asks questions

about treatment

options, indicating

readiness to learn

 Verbalizes plans to

continue as normal

a life as possible

 Uses written

information and

instructions to

clarify questions

and seek additional

information

Nursing Diagnosis: Activity intolerance related to fatigue, anemia, retention of waste products, and
dialysis procedure
Goal: Participation in activity within tolerance

1. Assess factors contributing to
   activity intolerance:
   a. Fatigue
   b. Anemia
   c. Fluid and electrolyte
   imbalances
   d. Retention of waste
   products
   e. Depression


2. Promote independence in self-
   care activities as tolerated; assist
   if fatigued.


3. Encourage alternating activity
   with rest.


4. Encourage patient to rest after
   dialysis treatments.

1. Indicates factors

contributing to severity

of fatigue.

2. Promotes improved self-

esteem

3. Promotes activity and

exercise within limits

and adequate rest.

4. Adequate rest is

encouraged after

dialysis treatments,

which are exhausting to

many patients.

 Participates in

increasing levels of

activity and

exercise

 Reports increased

sense of well-being

 Alternates rest and

activity

 Participates in

selected self-care

activities

Nursing Diagnosis: Risk for situational low self-esteem related to dependency, role changes, change in
body image, and change in sexual function
Goal: Improved self-esteem