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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Placing the child on a low-sodium diet is not a priority action for managing Addison's disease. Sodium restriction may be necessary in some cases, but it's not the primary intervention.
B. Monitoring the child for fluid volume excess is not directly related to managing Addison's disease. Addison's disease often leads to hypovolemia due to decreased aldosterone secretion.
C. Discussing manifestations of hyperglycemia may not be directly relevant to Addison's disease, which primarily affects cortisol and aldosterone levels, not glucose metabolism.
D. Teaching the parents about cortical replacement therapy is crucial. Addison's disease results from adrenal insufficiency, and cortical replacement therapy, typically with glucocorticoids and mineralocorticoids, is the mainstay of treatment.

A. Obtain a prescription for insulin for the client. B. Have the client breath into a paper bag. C. Place the client on continuous cardiac monitoring, D. Plan to administer sodium bicarbonate to the client.

Correct Answer is C

Explanation

A. Insulin administration is not indicated for metabolic alkalosis.
B. Breathing into a paper bag is a treatment for respiratory alkalosis, not metabolic alkalosis.
C. Metabolic alkalosis can lead to cardiac dysrhythmias due to electrolyte imbalances, particularly hypokalemia. Continuous cardiac monitoring is essential to promptly identify and manage any dysrhythmias that may occur.
D. Administering sodium bicarbonate would exacerbate metabolic alkalosis and is not indicated.

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A nurse is caring for a client who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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