A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

Pancreatic cyst

Cerebral aneurysm

Renal calculus

Diverticulitis

Answer and Explanation

The Correct Answer is B

Choice A reason: Pancreatic cysts can be associated with PKD but are not typically linked with severe headaches.

Choice B reason: Cerebral aneurysms are a known complication of PKD and can present with severe headaches if they leak or rupture.

Choice C reason: Renal calculi, or kidney stones, can cause pain but are not typically associated with headaches.

Choice D reason: Diverticulitis is a condition of the colon and would not be expected to cause headaches.

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Correct Answer is C

Explanation

Choice A reason: Flatened neck veins would suggest dehydration rather than fluid overload.

Choice B reason: The return of skin to previous position when pinched indicates good skin turgor, not fluid overload.

Choice C reason: A significant weight gain in a short period, such as 5 lb since yesterday, is a classic sign of fluid overload.

Choice D reason: An oxygen saturation of 93% does not necessarily indicate fluid overload.

A. Eat a diet high in calcium oxalate-rich foods. B. Continue to take your prescribed gout medication. C. Drink plenty of fluids during the day. D. Eat a diet high in purine-rich foods.

Correct Answer is C

Explanation

Choice A reason: A diet high in calcium oxalate-rich foods should be avoided as it can contribute to the formation of calcium oxalate stones.

Choice B reason: Continuing prescribed gout medication is important, but it does not directly prevent the formation of renal calculi unless the medication is specifically for reducing uric acid levels.

Choice C reason: Drinking plenty of fluids, especially water, is one of the most effective ways to prevent the recurrence of renal calculi by diluting the urine and reducing the concentration of stone-forming minerals.

Choice D reason: A diet high in purine-rich foods can increase the risk of uric acid stones and should be avoided, especially in patients with gout and a history of renal calculi.

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A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the followingfindings should the nurse identify as an indication the client is experiencing fluid overload?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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