Question

Polycystic Kidney Disease (PKD) A 30-year-old white male patient comes to the clinic reporting dull, aching abdominal and flank pain. He reports nocturia and a family history of autosomal dominant PKD. He reports no known personal health problems, although he was instructed to monitor his blood pressure at home and he admits to “not doing so well with that.” Today his blood pressure is 130/90 mm Hg; the pulse is 72 and regular; respirations 12/min, and the temperature is 98.8° F.

1. What additional information should the nurse elicit during the interview?

2. What are the key features of PKD?

3. Describe the causes of pain for patients with PKD.

4. What are the typical findings of urinalysis in a patient with PKD?

5. What are the causes of hypertension and kidney ischemia in a patient with PKD?

6. What is the risk involved with other organs and tissues in the progression of PKD?

7. Patients with PKD often have other tissue involvement. List several of the complications that can be present. Identify priority nursing care needs for the patient with PKD.

8. What would the nurse include in the teaching plan for this patient?

Answer 1

2) Dull aching lumbar or flank pain

Tenderness in abdomen and back

Blood in urine

Frequent urination

Urinary tract infection

Skin that bruises easily.

Palpable kidney masses

Proteinuria, pyuria.

3) chronic pain is caused by kidney cysts may be felt in your abdomen or back. Also pain can be associated with UTI, kidney stone or malignancy.

4) blood in urine

Proteinuria

Pyuria

5) High blood pressure is caused by activation of renin angiotensin aldosteron system. Also sympathetic nervous system gets activated and contribute to pathogenesis of hypertension.

6) Cardiac enlargement and heart failure, brain aneurysm, colon problem, cystic lesion are sometime found in thyroid, lung, pancreas, spleen, ovary, testes, epididymis, uterus and bladder.