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 ["B","C"]
Explanation
(A) Hypokalemia: Addison’s disease does not cause potassium loss.
(B) Hyperkalemia: Addison’s disease involves adrenal insufficiency, leading to low aldosterone levels. Aldosterone normally promotes potassium excretion; without it, potassium accumulates in the blood.
(C) Hyponatremia: Lack of aldosterone also prevents sodium retention, leading to excess sodium loss in urine and low sodium levels.
(D) Hypernatremia: Sodium levels are low due to excessive sodium excretion.
Correct Answer is C
Explanation
(A) Seizure: Not a typical side effect of ARBs.
(B) Bradycardia: ARBs do not significantly affect heart rate.
(C) Hyperkalemia: Angiotensin II receptor blockers (ARBs), like losartan, reduce aldosterone secretion, leading to potassium retention and hyperkalemia.
(D) Insomnia: Not a common adverse effect of ARBs.
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