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 C

Explanation

A. The pH is alkalotic, and the PaCO2 is within the normal range, indicating respiratory alkalosis, which is not typically seen in chronic kidney disease.
B. The pH is alkalotic, and the HCO3 level is lower than normal, indicating metabolic acidosis, which can occur in chronic kidney disease, but the PaCO2 is not typically decreased in metabolic acidosis.
C. This choice fits the pattern of metabolic acidosis commonly seen in CKD patients. In patients with chronic kidney disease (CKD), the kidneys are less able to excrete acid, leading to metabolic acidosis. Therefore, the expected arterial blood gas values would show a lower pH indicating acidemia, a decreased bicarbonate (HCO3-) level, and a normal or low partial pressure of carbon dioxide (PaCO2) as the lungs try to compensate by blowing off CO2.
D. The pH is acidic, and the HCO3 level is within the normal range, indicating respiratory acidosis, which is not typically seen in chronic kidney disease.

A. Chronic lung disease B. Hypertension C. Diabetes D. Coronary heart disease E. Obesity

Correct Answer is ["B","C","E"]

Explanation

A. Chronic lung disease is not typically identified as a risk factor for developing kidney disease.
B. Hypertension is a significant risk factor for kidney disease as it can damage blood vessels in the kidneys over time.
C. Diabetes, especially when uncontrolled, can lead to diabetic nephropathy, a common cause of kidney disease.
D. Coronary heart disease is primarily related to the cardiovascular system and is not directly associated with kidney disease.
E. Obesity increases the risk of developing kidney disease due to associated conditions such as hypertension and diabetes.

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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 reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

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Explanation

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Correct Answer is ["B","C","E"]

Explanation

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