A patient with polycystic kidney disease is planning to be ...

[sc00by25]

A patient with polycystic kidney disease is planning to be married and asks the nurse if his children could inherit this disorder. What is the nurse's best response?
 
  1. Yes, this condition can be inherited.
  2. Yes, but this condition is so rare that you shouldn't worry about it.
  3. No, polycystic kidney disease occurs because of spontaneous mutations.
  4. You should ask your fiance to come with you to your next office visit so we can discuss this.

Question 2

The nurse is completing the instructions to a patient who underwent a cadaver kidney transplant and is ready for discharge from the hospital. What patient statement indicates that further teaching is needed?
 
  1. I'm glad I won't have to take immunosuppressants any longer.
  2. I know to check my weight on a regular basis.
  3. I'll call my doctor if I notice any decrease in my urine output.
  4. I'll tell my friends to stay away from me if they have colds or the flu.

[heinisk01]

Answer to Question 1

Correct Answer: 1
Autosomal dominant polycystic kidney disease is relatively common, affecting 1 in every 400 to 1000 people and accounts for 4 of ESRD in the U. S. Approximately 90 of cases are inherited as an autosomal dominant trait and the remaining 10 are due to spontaneous mutations. The nurse needs to provide correct information and answer the patient's question.

Answer to Question 2

Correct Answer: 1
Unless the donor and recipient are identical twins, immunosuppressants are taken to minimize the immune response to reject the transplanted organ. The patient will need to check weight on a regular basis. The patient should contact the physician with any decreases in urine output. The patient should also avoid individuals who have colds or the flu.

[sc00by25]

Thank you

[heinisk01]

Happy to help you