On assessment of a client with polycystic kidney disease (PKD), which finding is of greatest concern to the nurse?
a. Flank pain
b. Periorbital edema
c. Bloody and cloudy urine
d. Enlarged abdomen
B
Flank pain and a distended or enlarged abdomen occur in PKD because the kidneys enlarge and displace other organs. Urine can be bloody or cloudy owing to cyst rupture or infection. Perior-bital edema would not be a finding related to PKD and should be investigated further.
You might also like to view...
A 3-year-old child is brought to the emergency department with sudden onset of hoarseness, wheezing, and cough. The child has a history of asthma, but the parent is worried about an aspirated toy part
Which action by the nurse would quickly differentiate between the two? A. Administer an inhaled bronchodilator. B. Auscultate lungs for unilateral wheezing. C. Obtain a stat portable chest x-ray. D. Quickly obtain an oxygen saturation.
The OR nurse is setting up a water-seal chest drainage system for a patient who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?
A) 20 cm H2O B) 15 cm H2O C) 10 cm H2O D) 5 cm H2O
Which of these factors will create a rapid increase in the number of people over the age of 65 in the years 2010 to 2030?
a. During these years the baby boomers will reach age 65. b. Individuals in this age category are taking better care of themselves. c. Medical technology has allowed people to live longer. d. People over age 65 are living an average of 25 years longer.
A client in an alcohol rehabilitation program tells the nurse "I've been such a loser all my life! I feel so ashamed for what I have put my family through! Now I am in rehab and I am not sure I can stay sober."
What nursing diagnosis would be most appropriate? A) High risk for violence B) Self-esteem disturbance C) Alteration in health maintenance D) Powerlessness