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 A
Explanation
(A) Tetany: Hypocalcemia increases neuromuscular excitability, leading to muscle cramps, spasms, and tetany (involuntary muscle contractions).
(B) Hypertension: Hypocalcemia does not directly cause hypertension; it may lead to hypotension.
(C) Constipation: Hypercalcemia, not hypocalcemia, causes constipation.
(D) Polyuria: Hypercalcemia leads to polyuria, while hypocalcemia does not.
Correct Answer is ["A","B","C","E"]
Explanation
(A) Thirst: The body increases thirst to compensate for high sodium levels and prevent dehydration.
(B) Seizures: Severe hypernatremia causes neurological symptoms like seizures due to cerebral dehydration.
(C) Dry Mucous Membranes: Water loss leads to dry oral mucosa.
(E) Muscle Weakness: Electrolyte imbalances affect neuromuscular function, leading to weakness.
(D) Bradycardia: Hypernatremia is more likely to cause tachycardia due to dehydration and hypovolemia.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.