A nurse is caring for a client in the clinic

Exhibits

Complete the following sentence by using the list of options.

The nurse should first address the client's

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A. The kidneys continue to enlarge due to the cyst growing which increases the girth of your abdomen. Polycystic kidney disease is characterized by the progressive growth of fluid-filled cysts in the kidneys. These cysts cause the kidneys to enlarge significantly over time, which can lead to increased abdominal girth, a common finding in patients with advanced PKD.
B. The inflammation in your kidneys damages the filtration system which causes fluid retention in your abdomen. While PKD does impair kidney function, generalized fluid retention from decreased filtration more commonly leads to peripheral edema or hypertension, not isolated abdominal distension. Ascites is not typically associated with PKD unless there is concurrent liver involvement or severe renal failure.
C. The stones might descend into the ureters, blocking the flow of urine and causing an increase in the girth of your abdomen. Renal calculi can obstruct urine flow and cause hydronephrosis (kidney swelling), but they do not typically lead to noticeable abdominal distension. The increase in girth in PKD is more directly related to cystic kidney enlargement than to stone obstruction.
D. The kidney infection has caused narrowing of the ureters and your abdomen has filled with fluid.
Kidney infections can cause inflammation, but ureteral narrowing from infection is rare and would not cause significant abdominal girth increase. Additionally, abdominal fluid accumulation from infection would present with systemic signs like fever or peritonitis, which are not described here.

A. "Avoid foods that have been fried.": Fried foods are high in fat, which can increase stomach acid production and irritate the gastric mucosa, contributing to the development of peptic ulcers. Avoiding such foods can help reduce the risk of ulcer formation.
B. "Avoid consuming undercooked foods.": While undercooked foods can carry the risk of infection, particularly from bacteria like H. pylori, this statement is more relevant to food safety and does not directly address the risk of peptic ulcers.
C. "Avoid using decongestants for seasonal allergies/colds due to their positive link to developing a peptic ulcer.": Decongestants are not typically associated with an increased risk of peptic ulcers. The main culprits for ulcers are NSAIDs, alcohol, smoking, and H. pylori infection.
D. "Avoid using hormone replacement therapy as this can increase your risk for a peptic ulcer.": Hormone replacement therapy (HRT) is not a major factor in the development of peptic ulcers. The primary risk factors include NSAID use, smoking, and infection with H. pylori.