What will be the possible diagnosis of the case study presented below? Kindly provide data evidence and interpretation. Create a nursing diagnosis in accordance to the case study presented. Reference: https://www.britannica.com/science/diagnosis/Formulating-a-diagnosis Case: The patient is a 41-year-old male who has a long-standing history of hypertension and diabetes mellitus and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and vomiting. He denies any other medical illnesses. On physical examination the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he is afebrile. Body weight 76.5 kg. Cardiac exam has an S1, S2 and S4. The remainder of the exam is remarkable for 2+ lower extremity edema and superficial excoriations of his skin from scratching. Laboratory Values are as follows ResultsNormal ValuesSodium133136-146 mmol/LPotassium6.23.5-5.3 mmol/LChloride10098-108 mmol/LTotal CO21523-27 mmol/LBUN1707-22 mg/dlCreatinine16.00.7-1.5 mg/dlGlucose10870-110 mg/dlCalcium7.28.9-10.3 mg/dlPhosphorus10.52.6-6.4 mg/dlAlkaline Phosphatase30630-110 IU/LParathyroid Hormone89510-65 pg/mlHemoglobin8.614-17 gm/dlHematocrit27.440-54 % Additional data are as follows:24-hour urine collection at 850 mlRenal ultrasound: right kidney 9 x 6 cm; left kidney 9.2 x 5.8 cmBoth kidneys illustrate hyperechogencity and no hydronephrosis Health Science Science NursingNUR 693
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