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.
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Related Questions
Correct Answer is D
Explanation
(A) Fathers can pass the disorder to their sons: Incorrect because fathers pass the Y chromosome to sons, not the X.
(B) Carrier females rarely show symptoms: While carrier females often do not show symptoms due to having one unaffected X chromosome, it is not a defining feature.
(C) Equal male and female prevalence: Incorrect because X-linked recessive disorders affect males more frequently, as they only have one X chromosome.
(D) All daughters of affected males are carriers: Since males have only one X chromosome, they pass their X chromosome to all daughters, making them carriers.
Correct Answer is A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
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