A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?
Pancreatic cyst
Cerebral aneurysm
Renal calculus
Diverticulitis
The Correct Answer is B
Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.
Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.
Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.
Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Back pain is a physical symptom of UTIs, not a psychosocial effect.
Choice B reason: Missing out on normal social activities like atending grandchildren's school events indicates a psychosocial impact from frequent UTIs.
Choice C reason: Needing to be close to a bathroom is a practical concern due to the physical symptoms of UTIs, not a psychosocial effect.
Choice D reason: Nausea and vomiting are physical symptoms of UTIs and do not directly indicate a psychosocial effect.
Correct Answer is A
Explanation
Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk
factor for the development of calcium stones.
Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.
Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.
Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.
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