A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Confusion

Flank pain

Urinary retention

Hypotension

Answer and Explanation

The Correct Answer is B

A.   Confusion is not a typical finding in polycystic kidney disease.
B.   Flank pain is a common symptom of polycystic kidney disease due to the enlargement of the kidneys from cyst formation.
C.   Urinary retention is not typically associated with polycystic kidney disease.
D.   Hypotension is not a typical finding in polycystic kidney disease unless there are complications such as renal failure.

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Correct Answer is A

Explanation

A. Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to impaired renal function, leading to decreased potassium excretion.
B. Hypomagnesemia is not typically associated with the oliguric phase of acute kidney injury.
C. In the oliguric phase, the glomerular filtration rate is typically decreased, not increased.
D. In acute kidney injury, creatinine levels typically rise due to decreased renal function, rather than decrease.

A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory alkalosis D. Respiratory acidosis

Correct Answer is D

Explanation

A. Metabolic acidosis is characterized by a low pH and low bicarbonate levels (HCO3).
B. Metabolic alkalosis is characterized by a high pH and high bicarbonate levels (HCO3).
C. Respiratory alkalosis is characterized by a high pH and low PaCO2 levels.
D. The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.

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A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO, 48 mm Hg and the HCO, is 23 mEq/L. The nurse should recognize that these findings indicate of which of the following acid base balances?

Correct Answer is D

Explanation

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