A nurse is caring for a client who has newly diagnosed polycystic kidney disease (PKD). The client asks, "Did I do something to my body to get this disease?" Which of the following statements from the nurse is the most accurate response?

"If your diet includes foods high in calcium, it could have led to this disease."

"This disease might have occurred if you had some type of streptococcal infection such as strep throat in the past 7 to 10 days."

"It is a genetic disorder and could not have been prevented."

"this disorder might have occurred because of your hypertension and diabetes."

Answer and Explanation

The Correct Answer is C

A: High dietary calcium is not a known cause of PKD.
B: Streptococcal infections can cause glomerulonephritis, not PKD.
C: PKD is typically an autosomal dominant genetic disorder, meaning it is inherited and not caused by lifestyle or external factors. It usually presents in adulthood and cannot be prevented.
D: While hypertension and diabetes can cause kidney damage, they are not causes of PKD.

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Correct Answer is A

Explanation

A: A significant drop in blood pressure could indicate internal bleeding or fluid volume loss—potentially life-threatening.
B: Blood glucose levels of 110 pre-meal and 160 post-meal are normal ranges.
C: Sanguineous to serosanguineous drainage is an expected wound healing progression.
D: Pain increasing from 4 to 6 is important but not as critical as hypotension.

A. Allow time during the workday when each nurse can demonstrate proficiency. B. Ask each nurse to read the procedure and sign a form acknowledging competency. C. Require each nurse to take a written examination about the new equipment. D. Verbally question the staff about the new equipment.

Correct Answer is A

Explanation

A: Hands-on demonstration is the best way to assess skill competency in equipment use.
B: Signing a form doesn’t prove the nurse can operate the equipment safely.
C: A written test only assesses knowledge, not practical skill.
D: Verbal questioning is insufficient to ensure safe use in practice.

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A nurse is caring for a client who has newly diagnosed polycystic kidney disease (PKD). The client asks, "Did I do something to my body to get this disease?" Which of the following statements from the nurse is the most accurate response?

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