Exam 19: Kidney Clinical Assessment and Diagnostic Procedures

The patient complains of a metallic taste and loss of appetite.The nurse is concerned that the patient has developed

Which of the following assessment findings would indicate fluid volume excess?

Which of the following parameters is indicative of volume overload?

As serum osmolality rises, intravascular fluid equilibrium will be maintained by the release of

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.Which of the following diagnostic tests would give the best information about the internal kidney structures, such as the parenchyma, calyces, pelvis, ureters, and bladder?

Which of the following may be present in the patient with significant fluid volume overload?

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The patient urinalysis has a specific gravity of 1.040.What could be the potential cause for this value?

Percussion of kidneys is usually done to

Loss of albumin from the vascular space may result in

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The nurse is assessing the peripheral edema.The nurse presses two fingers over the tibial area, and it takes 1 minute before the indention disappears.The nurse would chart the following result:

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The nurse suspects the main cause of ascites is

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The patient weight upon admission was 176 lb.The patient's weight the next day is 184 lb.What is the approximate amount of fluid retained with this weight gain?

A patient is admitted to the critical care unit in congestive heart failure secondary to renal insufficiency.The patient reports that over the past few weeks, his urine output has decreased, and he has developed peripheral edema and ascites.A diagnosis of renal failure is made.The nurse would expect to see elevated values in the following laboratory results: (Select all that apply).

Differentiating ascites from distortion caused by solid bowel contents in the distended abdomen is accomplished by

The most important assessment parameters for evaluating the patient's fluid status is to measure

A patient has been on complete bed rest for 3 days.The health care provider has ordered for the patient to sit at the bedside for meals.The patient complains of feeling dizzy and faint while sitting at the bedside.The nurse anticipates that the patient is experiencing

Which of the following urine values reflects a decreased ability of the kidneys to concentrate urine?

Which of the following auscultatory parameters may exist in the presence of hypovolemia?

When calculating the anion gap, the predominant cation is