nursing diagnosis

I already have 2 ND for my patient and I am having trouble coming up with the third. My pt was transfered to my hospital for a kidney biopsy. She has stage 3 kidney disease along with other things. I am using unstable glusose and risk for injury related to the other issues but i dont know where to go with the renal issues. Her abnormal labs where:
albumin-low
creatinine-high
calcium-low
chloride-high
BUN-high
RBC-low
HGB-low
HCT-low
I was think about something with fluid volume but she has no apparent edema. Could she still be excess fluid or risk for imbalanced fluid volume? She is not having issues with urination. Any help would be greatly appreciated!
Best to post on the student forum for help/interaction with your homework quesitons.

If she has not problems with urination nor does she show edema, why would she have excess fluid volume? Remember that each DX is related to a process and manifested by symptoms - if there are no symptoms of fluid volume excess then you can't have a nursing Dx of it.What other nursing dx's do you got so far?Edit: Just saw that you have the other nursing dx's.

Potential for fluid imbalance? Not actual....but still worth a look at

Right off the bat, I see electrolyte imbalance and anemia. I'd go with DXs related to those.

Not going to mention specific dxs., but remember the importance of physical assessment findings in coming up with diagnoses, not just lab values.

Anticipatory grieving! its good to have a psychosocial one in the mix.Stay away from "at risk for". NCLEX doesn't like at risk for, and neither do professors.Or, if you don't want any psychosocial ones. "Electrolyte imbalance" i'd like to know her sodium/potassium/magnesium as well.

Think about her poor kidney function and what that does to the body...

Quote from psu_213Not going to mention specific dxs., but remember the importance of physical assessment findings in coming up with diagnoses, not just lab values.

Try here....http://www.pterrywave.com/nursing/ca...ans%20TOC.aspx