Exam 25: Kidney Clinical Assessment and Diagnostic Procedures

A patient was admitted with heart failure.The nurse is assessing the patient for peripheral edema.The nurse presses two fingers over the tibial area,and it takes 1 minute before the indention disappears.What would the nurse note in the medical record?

What causes the presence of myoglobin in urine?

A patient has been admitted in acute heart failure.Which parameter would indicate to the nurse that the patient is fluid overloaded?

A patient is admitted in acute 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 which laboratory results?

A patient is admitted with renal failure.The patient's weight upon admission was 176 lb,and the next day it is 184 lb.What is the approximate amount of fluid retained with this weight gain?

A patient is admitted in acute 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.The nurse suspects the main cause of ascites is what condition?

Percussion of kidneys is usually done to assess what parameter?

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

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

A patient has been on complete bed rest for 3 days.The practitioner has left orders to get the patient out of bed for meals.The patient complains of feeling dizzy and faint while sitting at the bedside.The nurse suspects that the patient is experiencing what problem?

A patient was admitted with multiple trauma who has been volume resuscitated.The nurse suspects the patient is fluid overloaded.Which assessment findings would confirm the nurse's suspicion?

When calculating the anion gap,what is the predominant cation?

Loss of albumin from the vascular space may result in which condition?

A patient was admitted with acute heart failure a few days ago.Today the patient's urine has a specific gravity of 1.040.What could be the potential cause for this value?

A patient has been admitted with acute kidney injury.The nurse knows the most important consideration for evaluating the patient's fluid status is what parameter?

A patient was admitted with acute heart failure who has been receiving diuretic therapy.The nurse suspects the patient is hypovolemic.What auscultatory parameter would confirm the nurse's suspicion?

In a patient with a distended abdomen,differentiating ascites from solid bowel contents is accomplished by performing what assessment?

A patient is admitted in acute 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.Which diagnostic tests would provide the best information about the internal kidney structures,such as the parenchyma,calyces,pelvis,ureters,and bladder?

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

A patient was admitted with acute kidney failure.Which urinalysis value reflects a decreased ability of the kidneys to concentrate urine?