The nurse instructs a patient about adult polycystic kidney ...

[j.rubin]

The nurse instructs a patient about adult polycystic kidney disease (APKD). Which patient statement indicates that teaching has been effective?
 
  Select all that apply.
  1. This disorder can be cured if I take my medication carefully.
  2. APKD is inherited from parent to child.
  3. The problem that causes this disease is in the cell chromosomes.
  4. Many fluid-filled sacs are found in the kidneys.
  5. This disorder can cause my kidneys to work poorly.

Question 2

A patient who is scheduled to have a renal angiogram asks why the nurse is checking the pulses in the feet. What should the nurse respond to this patient?
 
  1. I feel your pulses there. I can check that the blood is flowing properly to your legs and feet.
  2. Why do you ask?
  3. It is a nursing thing.
  4. A needle is inserted in your femoral artery so the circulation to your extremity could be compromised during this test.

[nyrave]

Answer to Question 1

Correct Answer: 2, 3, 4, 5
There is no medication that can cure this disorder. Adult polycystic kidney disease (APKD) is linked to a familial chromosome 16 disorder. The disease is characterized by large cysts in one or both kidneys and a gradual loss of kidney tissue with resultant chronic renal failure.

Answer to Question 2

Correct Answer: 1
For this test a contrast medium is injected into the femoral artery. Afterward, the integrity of the artery is assessed by checking peripheral pulses in the feet. Asking the patient why do you ask does not answer the patient's question. Saying that it is a nursing thing minimizes the patient's concern. The nurse should not explain the procedure using medical terminology that the patient might not understand.