While taking a client history, which of the following assessments lead the nurse to suspect the client may have polycystic kidney disease? Select all that apply
A) Massive proteinuria on dipstick urine specimen
B) Renal colic with flank pain
C) Bright red blood in urine sample
D) Elevated blood pressure of 180/94
E) Shortness of breath (SOB) with loud rhonchi and wheezes heard on auscultation
Ans: B, C, D
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The manifestations of ADPKD include pain from the enlarging cysts that may reach debilitating levels, episodes of gross hematuria from bleeding into a cyst, infected cysts from ascending UTIs, and hypertension resulting from compression of intrarenal blood vessels with activation of the renin–angiotensin mechanism. Renal colic caused by nephrolithiasis, or kidney stones, occurs in about 20% of persons with ADPKD. One type of pain associated with kidney stones is renal colic, described as colicky pain that accompanies stretching of the collecting system or ureter. Nephrotic syndrome is characterized by massive proteinuria. SOB with abnormal respiratory sounds is not usually associated with ADPKD.
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