Question

The nurse has taught the client with polycystic kidney disease about management of the disorder and prevention and recognition of complications. The nurse should determine that the client understands the instructions if the client states that which should be reported to the primary health care provider (PHCP)? Select all that apply.

1.	Frequent urination
2.	Burning on urination
3.	A temperature of 100.6º F (38.1º C)
4.	New-onset shortness of breath
5.	A blood pressure of 105/68 mm Hg

Answer 1

Answe 4. New onset of shortness of breath is the symptoms of the most dangerous complication of polycystic kidney disease that is Renal failure. Polycystic kidney disease causes Numerous cyst filled with fluid which will grow in the kidneys. As the cyst will grow it will leads to damage to nephrones, sclerosis of renal arterioles, death of renal tubular epithelium by Apotosis. When there is no longer sufficient renal tissue to support renal function Renal failure occurs. Acute renal failure may lead to build up of water in the lungs which will cause shortness of breath which should be identified and treated earlier