Jackie's ankles are very swollen at night after work. when she went to the doctor about the problem, the doctor requested a urine specimen. why?
a. edema could be a sign of kidney failure. a urine sample might contain protein or urea. b. jackie is probably drinking too much water and the doctor can see this because the urine will be very dilute. c. jackie probably stands all day long and this prevents the urinary system from working correctly. d. edema is a sign of kidney stones and the doctor is looking for small stones in the urine. e. edema could be a sign of an inactive bladder. the doctor wants to see if jackie is capable of urinating.

a. Edema could be a sign of kidney failure. A urine sample might contain protein or urea.

Explanation:

  Chronic Kidney Disease (CKD) is characterized by the progressive loss of the ability of the kidneys to filter blood, so that the patient may experience symptoms such as swelling in the feet and ankles, weakness and the appearance of foam in the urine, for example.  

  Therefore, it is important for these people to have regular urine and blood tests with creatinine levels to check if the kidneys are working properly and if there is a risk of developing.

answer: b. complete secondary assessment (detailed physical exam).

after you finished the primary assessment, you must proceed with the assessment by performing a complete detailed physical examination.

this secondary assessment includes a focused on patient’s history, vital signs and a specific and rapid examination of the entire body especially on the injuries acquired from the motor vehicle accident and the patient’s medical complaint.