A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?
Pain management
Blood glucose control
Fluid restriction
Blood pressure control
The Correct Answer is D
Choice A reason: While pain management is important for comfort, it does not directly slow the progression of PKD to ESRD.
Choice B reason: Blood glucose control is important for overall health but is not the most critical factor in slowing the progression of PKD to ESRD.
Choice C reason: Fluid restriction is not typically necessary for PKD unless there is an associated condition that requires it.
Choice D reason: Blood pressure control is crucial in PKD as hypertension can accelerate the progression to ESRD.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The bladder is not where renal calculi typically begin to form; it is where they may end up if they travel down from the kidneys.
Choice B reason: Renal calculi commonly begin forming at the renal papilla, which is part of the kidney where urine collects before it flows into the ureter.
Choice C reason: The ureter is not the typical starting point for the formation of renal calculi, though stones can travel through it.
Choice D reason: The urethra is not a common site for the formation of renal calculi; it is the duct through which urine is discharged.
Correct Answer is D
Explanation
Choice A reason: Carvedilol does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice B reason: Atorvastatin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice C reason: Nitroglycerin does not typically interact with contrast material to increase the risk of acute kidney injury.
Choice D reason: Metformin can interact with contrast material and increase the risk of acute kidney injury, especially
in clients with pre-existing kidney problems.
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