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Exam (elaborations)

System Disorder: Renal Disorder – Pathophysiology, Assessment, and Nursing Management

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This system disorder review focuses on renal disorders and their implications in nursing care. It explores the pathophysiology, causes, and clinical manifestations of conditions such as acute kidney injury (AKI) and chronic kidney disease (CKD). The resource outlines key assessment findings including changes in urine output, elevated BUN and creatinine levels, electrolyte imbalances, and signs of fluid overload. It emphasizes nursing interventions such as fluid and electrolyte monitoring, medication management, nutritional support, and patient education on dialysis and lifestyle modifications. Designed for nursing students, this guide strengthens understanding of renal function and promotes evidence-based care for patients with kidney impairment.

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Uploaded on
November 12, 2025
Number of pages
1
Written in
2025/2026
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System Disorder Renal disorder



Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention

Damage to the nephrons from hypoxia, ischemia or Managment of hypertension, diabetes and alcohol intake.
Acute injury of the kidney Promotion of exercise and healthy lifestyle. Following proper
nephrotoxicity leadingto tubular obstruction and/or exfoliation
or chronic kidney disease resulting in impaired/reduced/stopped renal flow. administration and monitoring of nephrotoxic medications.




Risk Factors Expected Findings

Genetics, biabetes, heart disease,
heart failure, shock, blood clots,
hypertension, old age and
nephrotoxic medications. Electrolyte
imbalances
- Cardiac
dysrythmia
Toxin build up
Laboratory Tests Diagnostic Procedures in blood
- Fall risk
Infection R/T
GFR tests, ultrasound, renal dialysis ports
biopsy, CT, MRI, X-Ray




PATIENT-CENTERED CARE Complications

Medications Client Education



edema, cardiac
Antihypertensiv dysrythmia, chest
es, diuretics, pain,
EPO, iron hypervolemia,
supplements, muscle weakness,
Therapeutic Procedures bicarb, Interprofessional Care permanent kidney
phosphate damage, death
binders
pulmonary function promontion,
reduced metabolic rate, infection
prevention, skin care, fall
procautions

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