A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?
Confusion
Flank pain
Urinary retention
Hypotension
The Correct Answer is B
A. Confusion is not a typical finding in polycystic kidney disease.
B. Flank pain is a common symptom of polycystic kidney disease due to the enlargement of the kidneys from cyst formation.
C. Urinary retention is not typically associated with polycystic kidney disease.
D. Hypotension is not a typical finding in polycystic kidney disease unless there are complications such as renal failure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dextran 40 is a plasma volume expander and not used for correcting hypernatremia.
B. Hypernatremia indicates a deficit of water relative to sodium. Providing hypotonic solutions like Dextrose 5 in water helps to dilute the sodium concentration in the body fluids, effectively treating hypernatremia.
C. Dextrose 10% in water is a hypertonic solution and would exacerbate hypernatremia by increasing the concentration of sodium in the body fluids.
D. 25% albumin is a hypertonic solution and would exacerbate hypernatremia by increasing the concentration of sodium in the body fluids.
Correct Answer is C
Explanation
A. Dry skin is not a typical manifestation of respiratory acidosis.
B. Abdominal pain is not a typical manifestation of respiratory acidosis.
C. Lethargy and altered mental status are common manifestations of respiratory acidosis due to the effects of hypercapnia (elevated PaCO2) on the central nervous system.
D. Numbness of fingers is not a typical manifestation of respiratory acidosis.

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