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. Constipation B. Muscle spasms C. Metallic taste D. Headache

Correct Answer is A

Explanation

A. Constipation is a common adverse effect of aluminum hydroxide, an antacid often used to bind phosphate in patients with renal failure to prevent hyperphosphatemia.
B. Muscle spasms are not typically associated with aluminum hydroxide.
C. Metallic taste is not a common adverse effect of aluminum hydroxide.
D. Headache is not a common adverse effect of aluminum hydroxide.

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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 providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is A

Explanation

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