Medical Surgical Renal Anatomy & Physiology #3

Question

Which of these symptoms would the nurse expect to see in a client with a glomerular filtration rate of 15?

Answers

  1. Foamy urine
    • Rationale:

      This answer is correct because foamy or bloody urine is indicative of renal failure with a glomerular filtration rate of 15. Signs of kidney failure are swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

  2. No appetite
    • Rationale:

      This answer is correct because no or decreased appetite is a sign of renal failure with a glomerular filtration rate of 15. Signs of kidney failure are swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

  3. Blood pressure 120/70
    • Rationale:

      This answer is not correct because a blood pressure of 120/70 is a normal range for blood pressure and not an indication of kidney failure. Signs of kidney failure are swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

  4. Confused and fatigued
    • Rationale:

      This answer is correct because being confused and fatigued are signs of kidney failure with a glomerular filtration rate of 15. Signs of kidney failure are swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

  5. Swelling in the lower extremities
    • Rationale:

      This answer is correct because swelling in the lower extremities especially the legs and ankles are indicative of kidney failure with a glomerular filtration rate of 15. Signs of kidney failure are swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

Overview

The normal glomerular filtration rate is over 90 ml/min. If the glomerular filtration rate is 15, the client will be exhibiting signs of kidney failure such as swelling in the lower extremities: the ankles and legs, foamy and/or bloody urine, confusion, fatigue, and no appetite. A blood pressure of 120/70 is a normal range of blood pressure and would not indicate kidney failure.

Explanation

Learning Outcomes

When the glomerular filtration rate is less than 60, this can mean kidney disease. If the glomerular filtration rate is 15 or below, this is indicative of kidney failure. The client may exhibit swelling in the lower extremities, foamy or bloody urine, confusion, fatigue, no appetite, nausea, a bad taste in the mouth, and itching all over. Elevated BUN and creatinine levels can indicate kidney failure. The normal blood urea nitrogen (BUN) level is 8 to 20 mg/dL. The normal creatinine is 0.8 to 1.2 mg/dL.

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