A 66-year-old man comes to the hospital due to progressive weakness and lethargy for the past three weeks. He is't compliant with his antihypertensive medications. Blood pressure is 165/102 mm Hg, pulse is 92/min, and respirations are 21/min. Oxygen saturation is 96% on room air. Physical examination shows elevated jugular venous pressure, bilateral crackles, and 3+ pitting edema in both legs. Laboratory results are as follows: Which of the following additional findings are most likely present in this patient?

Question

A 66-year-old man comes to the hospital due to progressive weakness and lethargy for the past three weeks.  He is't compliant with his antihypertensive medications.  Blood pressure is 165/102 mm Hg, pulse is 92/min, and respirations are 21/min.  Oxygen saturation is 96% on room air.  Physical examination shows elevated jugular venous pressure, bilateral crackles, and 3+ pitting edema in both legs.  Laboratory results are as follows:  Which of the following additional findings are most likely present in this patient?

Quizplus · Accepted Answer

Eductional Objective: Advanced chronic kidney disease typically involves the accumulation of unmeasured acidic compounds in the blood; therefore, anion gap metabolic acidosis with respiratory compensation is expected.

A 66-Year-Old Man Comes to the Hospital Due to Progressive