A patient with polycystic kidney disease (PKD) complains of hematuria and flank pain. Which intervention should the nurse prioritize?
Administer corticosteroids
Encourage dietary protein intake
Monitor blood pressure
Prepare for immediate dialysis
The Correct Answer is C
(A) Administer Corticosteroids: PKD is not an inflammatory disease, so steroids are not the first-line treatment.
(B) Encourage Dietary Protein Intake: High-protein diets can worsen kidney damage in PKD patients.
(C) Monitor Blood Pressure: Hypertension is a common and serious complication of PKD. Controlling blood pressure can slow disease progression and reduce the risk of further kidney damage.
(D) Prepare for Immediate Dialysis: Dialysis is not required unless the patient has end-stage renal disease (ESRD). Early-stage PKD is managed with symptom control and blood pressure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Mitochondrial: CF is not maternally inherited through mitochondrial DNA.
(B) X-linked Dominant: CF does not involve the X chromosome.
(C) Autosomal Recessive: Cystic fibrosis (CF) occurs when an individual inherits two mutated copies of the CFTR gene (one from each parent). Both parents must be carriers for a child to develop the disease.
(D) Autosomal Dominant: CF requires two copies of the mutated gene, unlike dominant disorders that require only one.
Correct Answer is D
Explanation
(A) Sickle Cell Anemia: Follows incomplete dominance, where the heterozygous trait has a milder phenotype.
(B) Huntington’s Disease: Follows autosomal dominant inheritance, not co-dominance.
(C) Marfan Syndrome: Is an autosomal dominant disorder, not co-dominance.
(D) ABO Blood Type Inheritance: Co-dominance means both alleles are fully expressed. In ABO blood types, a person with AB blood has both A and B antigens expressed equally.
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