What will be the possible diagnosis of the case study presented below? Kindly provide data evidence

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 ScienceScienceNursing NUR 693 Share QuestionEmailCopy linkComments (0)

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