The nurse is caring for a client with polycystic kidney disease. Which complaint warrants particular attention from the nurse? A. Abdominal tenderness B. Severe headache C. Dull flank pain D. Nighttime voiding

Short Answer

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Answer: Severe headache

Step by step solution

01

Understand Polycystic Kidney Disease

Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. Common symptoms include high blood pressure, abdominal pain, and flank pain. Complications of PKD include kidney failure, cyst infection, and brain aneurysm. It is essential to determine which of the given complaints align with these symptoms and complications.
02

Evaluate Option A: Abdominal tenderness

Abdominal tenderness could be linked to PKD due to the presence of enlarged cysts and kidney enlargement. It requires attention but is not the most concerning complaint.
03

Evaluate Option B: Severe headache

A severe headache is a significant complaint for a PKD patient as it might indicate the formation of a brain aneurysm, a life-threatening complication. Patients with PKD are at an increased risk of developing brain aneurysms, so it warrants immediate attention and further evaluation.
04

Evaluate Option C: Dull flank pain

Dull flank pain might be related to PKD due to the presence of enlarged cysts and kidney enlargement. Although it requires attention, it is not the most concerning complaint compared to a severe headache.
05

Evaluate Option D: Nighttime voiding

Nighttime voiding could be a symptom of urinary tract infection or other kidney diseases, but it is not as concerning as a severe headache, especially for a patient with PKD.
06

Choose the most relevant complaint

Based on the analysis of each option, the most concerning complaint for a nurse caring for a client with polycystic kidney disease is B. Severe headache, as it may indicate the formation of a brain aneurysm, a life-threatening complication.

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