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 ["A","C","E"]

Explanation

Choice A reason: Proper hand hygiene is essential before connecting the tubing to the catheter to prevent infections, which is a key component of CAPD management.

Choice B reason: There is no requirement to lay down while the dialysis solution dwells in the peritoneal cavity. Patients can move around and continue with their daily activities.

Choice C reason: Regularly weighing oneself is important to monitor fluid balance and the effectiveness of the dialysis, making it a crucial part of home dialysis management.

Choice D reason: CAPD typically involves multiple exchanges throughout the day, not just one instillation at bedtime.

Choice E reason: Monitoring blood pressure is important for managing fluid balance and cardiovascular health in patients on dialysis.

A. Take 3,000 mg of vitamin C daily. B. Drink 3 L of fluid every day. C. Eat 12 oz of animal protein daily. D. Restrict calcium intake to one serving per day.

Correct Answer is B

Explanation

Choice A reason: Taking 3,000 mg of vitamin C daily is not recommended as it may increase the risk of calcium oxalate stones due to possible conversion of vitamin C to oxalate.

Choice B reason: Drinking 3 L of fluid every day is advised to prevent kidney stones by diluting the urine and reducing the concentration of stone-forming substances.

Choice C reason: Eating 12 oz of animal protein daily is excessive and can increase the risk of kidney stones due to higher excretion of calcium and oxalate.

Choice D reason: Restricting calcium intake to one serving per day is not recommended as a normal calcium intake is necessary to bind oxalate in the gut and reduce oxalate absorption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client who will be performing continuous ambulatory peritoneal dialysis (CAPD) at home. Which of the following statements from the client indicates an understanding of this type of dialysis management? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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