A patient is diagnosed with hypertension caused by polycystic ...

[EAugust]

A patient is diagnosed with hypertension caused by polycystic kidney disease. What might be helpful to control this patient's blood pressure?
 
  1. ACE inhibitors
  2. kidney transplant
  3. dialysis
  4. peritoneal dialysis

Question 2

An older patient is admitted to the hospital with cardiac complications associated with diabetes. What should be of concern to the nurse regarding this patient's medications?
 
  1. the type and amount of medications in relation to the patient's renal function
  2. whether the patient is taking the prescribed dosages
  3. what vitamins and supplements this patient is taking
  4. the costs of the patient's medications

[covalentbond]

Answer to Question 1

Correct Answer: 1
Hypertension associated with polycystic disease is generally controlled using angiotensin-converting enzyme (ACE) inhibitors or other antihypertensive agents. Renal transplant or dialysis is indicated when kidney function cannot control the wastes from metabolic processes.

Answer to Question 2

Correct Answer: 1
Decreased glomerular filtration rate (GFR) in the older adult also reduces the clearance of drugs excreted through the kidneys. This reduced clearance prolongs the half-life of drugs and may necessitate lower drug doses and longer dosing intervals. Common medications affected by decreased GFR include cardiac medications and anti-diabetic agents. Assessing the patient's compliance with the prescribed dose is important in any circumstance but is not specific to this scenario. Use of vitamin supplements should be assessed, but is not specific to the situation described. The nurse might suspect noncompliance if the cost of medications is an issue but this is not a priority otherwise.