There's someone's first name in there **************** ************ **************************** ************ ****************Blood and urine studies of people with kidney failure show discrepancies in results and shows symptoms such as nausea, vomiting, fatigue, impaired thinking, lethargy and headache. This is due to the decreased function of the glomerulus, resulting in its inability to filter urea and creatinine from the blood and excrete waste products from the central nervous and gastrointestinal systems (Mathers and Bonner, 2008, p.1295) . In the evaluation, she had facial itching (pruritus) due to dry skin, calcium phosphate deposition in the skin, and sensory neuropathy (Mathers and Bonner, 2008, p. 1298) . The client also experiences anorexia, nausea, and vomiting caused by irritation of the gastrointestinal tract by waste products that contribute to weight loss and malnutrition (Mathers & Bonner, 2008, p. 1297). Glenda's feeling of lethargy and confusion can be attributed to increased nitrogen waste, electrolyte imbalances, metabolic acidosis, and demyelination of nerve fibers (Mathers and Bonner, 2008, p. 1298). Glenda's laboratory results revealed high serum creatinine levels with 1132 umoL/L and urea level with 45 mmol/L, which is normally 60-130 ummoL/L and 3-8 mmol/L, respectively (Callaghan, 2009, Appendix). This finding may suggest a decrease in the glomerular and tubular function of the kidney, when, under normal conditions, they serve to filter and secrete...... middle of paper ......tp://www. kidney.org. au/Kidneydisease/FastFactsonCKD/tabid/589/Default.aspxLaCharity, L. (2013). Medical-surgical nursing: patient-centered collaborative care. Missouri (United States). Saunders. Mathers, T. and Bonner, A., (2008). Acute renal failure and chronic kidney disease. In Brown, D. and Edwards, H. Lewis Medical-Surgical Nursing Assessment and Management of Clinical Problems. Australia. Elsevier. Stanley, D. (2012). Health, wellness and illness. In A. Berman and S. Snyder (eds.). Kozier and Erb Fundamentals of Nursing. French forest. Pearson Australia. Staunton, P. and Chiarella, M. (2013). Nurses and midwives. Victoria (Australia). Elsevier. Thackrah, R. and Scott, K. (2010). Australian Indigenous Health and Cultures. Australia. Pearson. Thomson, N. (2009). The health of Indigenous Australians. Victoria, Australia. Oxford University Press.