HESI Case Study - Chronic Kidney Disease Questions and answers

Meet the client - ANSWER-The client is an older adult with a long history of type 2 diabetes mellitus and hypertension. The client record notes a family history of polycystic kidney disease (PKD). The client was diagnosed with stage 4 chronic kidney disease (CKD) two years ago. The client calls the nephrology office to speak to the clinic nurse. The client reports loss of appetite, fatigue, nocturia, and occasional shortness of breath. Etiology - ANSWER-The client's current medications include a angiotension receptor blocker (ARB), a diuretic, and an oral diabetic medication. The client's most recent lab work (3 months ago) includes: Hemoglobin: 10.5 g/dL (105 g/L) Hematocrit: 30.0% (0.3 proportion of 1.0) Creatinine: 2.25 mg/dL (171.56 mcmol/L) Blood Urea Nitrogen (BUN): 25 mg/dL (8.92 mmol/L) Glomerular Filtration Rate (GFR): 28 mL/min/1.73m2 Sodium: 132 mEq/L (132 mmol/L) Potassium: 3.8 mEq/L (3.8 mmol/L) Calcium: 8.9 mg/dL (2.23 mmol/L) Phosphorus: 4.0 mg/dL (1.29 mmol/L) Parathyroid Hormone (PTH): 98 pg/mL (98 ng/L) The nurse reviews the client's medical history. What part of the medical history should the nurse co