As kidney function deteriorates, every body system becomes affected (Sharon L. Lewis, 2014, p. 1108). It is necessary to assess fluid imbalances that affect circulating volume, myocardial workload and the systemic vascular resistance due to a decrease in cardiac output. Along with this, alterations in rate, rhythm, as well as cardiac conduction by examining electrolyte imbalances and hypoxia is essential. Hypertension is highly prevalent in patients with chronic kidney disease because hypertension is both a cause and a consequence of chronic kidney disease (Med-Surg p 110). As the kidneys function decreases, electrolytes such as sodium is retained. This causes fluid volume excess which leads to hypertension and edema. Thus, it is imperative
