A patient with polycystic kidney disease (PKD) complains of hematuria and flank pain. Which intervention should the nurse prioritize?
Administer corticosteroids
Encourage dietary protein intake
Monitor blood pressure
Prepare for immediate dialysis
The Correct Answer is C
(A) Administer Corticosteroids: PKD is not an inflammatory disease, so steroids are not the first-line treatment.
(B) Encourage Dietary Protein Intake: High-protein diets can worsen kidney damage in PKD patients.
(C) Monitor Blood Pressure: Hypertension is a common and serious complication of PKD. Controlling blood pressure can slow disease progression and reduce the risk of further kidney damage.
(D) Prepare for Immediate Dialysis: Dialysis is not required unless the patient has end-stage renal disease (ESRD). Early-stage PKD is managed with symptom control and blood pressure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
Correct Answer is B
Explanation
Trousseau’s sign is a sign of hypocalcemia, not hypercalcemia. It occurs when inflating a blood pressure cuff causes carpal spasms due to increased neuromuscular excitability.
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