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Questions and Answers
What is the global prevalence of Polycystic Kidney Disease?
Which of the following is a common complication of Polycystic Kidney Disease?
What diagnostic method is NOT commonly used for Polycystic Kidney Disease?
What condition may require hemodialysis in patients with Polycystic Kidney Disease?
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Which assessment is crucial in the nursing management of Polycystic Kidney Disease?
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One of the nursing diagnoses for Polycystic Kidney Disease is:
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What should be taught to patients regarding dietary restrictions?
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What clinical manifestation is associated with the enlargement and rupture of cysts in Polycystic Kidney Disease?
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Which clinical manifestation does NOT typically occur in patients with Polycystic Kidney Disease?
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What is a common nursing intervention for managing Polycystic Kidney Disease?
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Which of the following is an inappropriate action for a nurse to take when managing a patient with Polycystic Kidney Disease?
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What potential complication should a nurse monitor for in a patient with Polycystic Kidney Disease?
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Which method is least effective for diagnosing Polycystic Kidney Disease?
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Study Notes
Polycystic Kidney Disease: Epidemiology
- Affects 1 in 600,000 people in the US
- Estimated 12.5 million people worldwide
Polycystic Kidney Disease: Pathophysiology
- Cysts form within renal tubules
- Cysts detach, creating isolated sacs
- Growth of cysts compresses surrounding tissue, destroying underlying renal tubules
Polycystic Kidney Disease: Clinical Manifestations
- Hypertension
- Hematuria
- Lower back or flank pain
- Headaches
- Abdominal pain
Polycystic Kidney Disease: Medical Management - Diagnosis
- Patient history and family history
- Laboratory tests, including urine and blood tests
- Imaging studies:
- Abdominal ultrasound
- Magnetic resonance imaging (MRI)
- Intravenous (IV) pyelogram
- Computed tomography (CT) scan
Polycystic Kidney Disease: Medical Management - Treatment
- Hemodialysis may be necessary in cases of chronic kidney disease (CKD)
- Management of urinary tract infections (UTIs), pain, and hypertension
Polycystic Kidney Disease: Complications
- Hypertension
- Renal calculi (kidney stones)
- Recurrent UTIs
- Hematuria
- Heart valve abnormalities
Polycystic Kidney Disease: Nursing Management - Assessment and Analysis
- Clinical manifestations are related to cyst enlargement and rupture
Polycystic Kidney Disease: Nursing Management - Nursing Diagnoses
- Excess fluid volume
- Risk for infection
- Ineffective therapeutic regimen
Polycystic Kidney Disease: Nursing Interventions - Assessments
- Vital signs including temperature and blood pressure
- Oxygenation levels
- Daily weight
Polycystic Kidney Disease: Nursing Interventions - Actions
- Dietary modification
- Fluid restriction
- Administration of prescribed medications
Polycystic Kidney Disease: Nursing Interventions - Teaching
- Promptly report signs and symptoms of infection
- Follow prescribed dietary restrictions, including potassium and phosphorus
- Adhere to prescribed antihypertensive therapy
- Take prescribed antibiotics for diagnosed UTIs
Polycystic Kidney Disease: Nursing Management - Evaluating Care Outcomes
- Prevent complications associated with polycystic kidney disease
Polycystic Kidney Disease
- A common kidney disease affecting 1 in 600,000 people in the US and 12.5 million people worldwide.
- Cysts develop in renal tubules causing fluid filled sacs to grow and compress surrounding tissue, which leads to the destruction of the underlying tubules.
- Common symptoms include hypertension, hematuria, lower back or flank pain, headaches and abdominal pain.
- Diagnosis is made through clinical manifestation, family history, lab tests, abdominal ultrasound, MRI, IVP, and a CT scan.
- Management focuses on monitoring and preventing complications such as hypertension, renal calculi, UTIs, hematuria, and heart valve abnormalities.
Medical Management
- Hemodialysis is used in patients with chronic kidney disease.
- Treatment involves managing urinary tract infections, pain, and hypertension.
Nursing Management
- Assessment focuses on the clinical manifestations, vital signs, oxygenation and daily weight.
- Nursing diagnoses include: excess fluid volumes, risk of infection, and ineffective therapeutic regimen.
- Nursing interventions involve:
- Diet modification
- Fluid restriction
- Administration of medications as ordered
Patient Teaching
- Teach patients to immediately report clinical manifestations of infection.
- Follow prescribed dietary restrictions, particularly with potassium and phosphorus intake.
- Follow prescribed antihypertensive therapy.
- Follow prescribed antibiotics for diagnosed UTIs.
Nursing Management Evaluation
- Evaluation of nursing care focuses on preventing complications.
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Description
Explore the key aspects of Polycystic Kidney Disease including its epidemiology, pathophysiology, clinical manifestations, diagnosis, and treatment options. This quiz covers the condition's impact on individuals and the medical management strategies employed in its care.
