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 A
Explanation
Choice A reason: Black Americans have been found to have a higher prevalence of end-stage renal disease (ESRD) due to diabetes mellitus compared to other ethnic groups. This is atributed to a combination of factors including higher rates of diabetes, hypertension, and genetic predispositions that contribute to kidney damage.
Choice B reason: While Asian Americans do have a significant incidence of diabetes mellitus, they are not the group with the highest prevalence of ESRD due to diabetes. However, within the Asian American population, there are subgroups that have higher rates of ESRD, which may be in?uenced by genetic and environmental factors.
Choice C reason: Non-Hispanic Whites have a lower prevalence of ESRD due to diabetes mellitus when compared to Black Americans. However, they still constitute a significant portion of the ESRD population due to the larger size of this demographic group in the general population.
Choice D reason: Hispanic/Latinos also su?er from a high prevalence of diabetes mellitus, which can lead to ESRD. However, the rate of progression to ESRD due to diabetes is not as high as in the Black American population.
Socioeconomic factors and access to healthcare may in?uence these outcomes.
Correct Answer is D
Explanation
Choice A reason: Blood-tinged dialysate outflow can occur initially due to the surgical procedure and is not typically a cause for immediate concern unless it persists or is accompanied by other symptoms.
Choice B reason: Dialysate leakage during inflow might indicate a problem with the catheter placement or integrity but is not usually an emergency. It should be monitored and reported if it continues.
Choice C reason: Discomfort during dialysate inflow is common, especially in new patients, as they adjust to the sensation of fluid being infused. It should be reported if the discomfort is severe or persistent.
Choice D reason: Purulent dialysate outflow indicates an infection, such as peritonitis, which is a serious complication
of peritoneal dialysis. This requires immediate atention and intervention by the healthcare provider.
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