What response would indicate normal renal assessment?

A normal renal assessment includes several key findings that indicate healthy kidney function and anatomy. The presence of no pain on palpation is a significant indicator. When the kidneys are palpated, a lack of tenderness suggests that there is no underlying inflammation, infection, or other pathological issues affecting the kidneys. This is essential in ruling out conditions such as pyelonephritis or kidney tumors, where tenderness would generally be present.

In contrast, the other choices signify potential concerns. The presence of a bruit (a vascular sound heard during auscultation) may indicate abnormal blood flow, possibly due to stenosis or other vascular conditions affecting the renal arteries. The size of the kidneys being the same as the iliac arteries may not provide a valid measure of kidney health, as normal kidneys should be smaller; thus, equal sizing could imply pathology. Lastly, tenderness during palpation of the kidneys typically points to an abnormal assessment, signaling potential issues requiring further investigation. Therefore, the absence of pain or tenderness during palpation is a clear indicator of a normal renal assessment.