Pharmacology Antihypertensives #13

Question

The nurse is preparing an instructional discharge plan for a patient with polycystic kidney disease and teaching will include which of the following instructions? Select all that apply.

Answers

  1. Take all medications as ordered such as ACE inhibitors for hypertension and diuretics for edema.
    • Rationale:

      This answer is correct because care of a patient with polycystic kidney disease includes understanding the condition, medications, risk factors, and patient education surrounding the condition. Medications used to treat hypertension and edema in patients with polycystic kidney disease include ACE inhibitors and diuretics.

  2. Limit fluid intake since renal failure is imminent.
    • Rationale:

      This answer is not correct because fluids should not be limited in patients with polycystic kidney disease. Adequate fluid intake (at least 2,500 mL/day) is important to decrease risk of kidney failure.

  3. Maintain fluid intake of at least 2,500 mL per day.
    • Rationale:

      This answer is correct because adequate fluid intake (at least 2,500 mL/day) is important to decrease risk of kidney failure. Increased fluid intake can help prevent UTIs because patients with polycystic kidney disease commonly have UTIs, particularly women. Frequent UTIs can decrease kidney function in these patients who already have increased risk of kidney failure.

  4. Know signs and symptoms of urinary tract infection.
    • Rationale:

      This answer is correct because patients with polycystic kidney disease commonly have UTIs, particularly women. The patient should also be taught the signs of symptoms of urinary tract infections (UTI) so it can be treated quickly and completely. Frequent UTIs can decrease kidney function in these patients who already have increased risk of kidney failure.

  5. Discuss diet and nutrition.
    • Rationale:

      The patient with polycystic kidney disease should limit salt and potassium intake. Protein and phosphorus should also be limited. A diet high in these has shown to accelerate kidney damage.

Overview

Care of a patient with polycystic kidney disease includes understanding the condition, medications, risk factors, and patient education surrounding the condition.

Explanation

Teaching a client with polycystic kidney disease includes understanding medications, and why/how they will help; to maintain fluid intake (to help prevent UTI and calculi); and to be proactive against UTIs. Other teaching includes restricted sodium.

Learning Outcomes

Polycystic kidney disease is a non-curable, inherited disorder that involves non-cancerous cyst clusters which grow very large and can result in kidney failure. Care of a patient with polycystic kidney disease includes understanding the condition, medications, risk factors, and patient education surrounding the condition. Medications used to treat hypertension and edema in patients with polycystic kidney disease include ACE inhibitors and diuretics. Adequate fluid intake (at least 2,500 mL/day) is important to decrease risk of kidney failure. The patient should also be taught the signs of symptoms of urinary tract infections (UTI) because patients with polycystic kidney disease commonly have UTIs, particularly women. Frequent UTIs can decrease kidney function in these patients who already have increased risk of kidney failure.

Test Taking Tip

Adequate fluids are generally encouraged in most patients and only limited if the patient is in or at significant risk of fluid volume overload, such as congestive heart failure (CHF) or renal failure.

Video Rationale