A client with polycystic kidney disease (PKD) asks the nurse how to prevent complications associated with the disease. Which recommendations should the nurse make? (Select All that Apply.)

Rationale: A. Taking over-the-counter supplements is not routinely recommended for PKD. Some supplements can be harmful to the kidneys or interact with medications. Only prescribed medications and supplements approved by the healthcare provider should be used. B. Exercising regularly is beneficial for cardiovascular health and overall well-being. Avoiding contact sports is advised because trauma can damage enlarged kidneys or cysts, increasing the risk of bleeding or rupture. C. Limiting fluid intake is generally not recommended for PKD unless a healthcare provider specifies otherwise. Adequate hydration is important to prevent kidney stones and urinary tract infections. D. Consuming a high-sodium diet is harmful in PKD. High sodium intake can worsen hypertension and contribute to faster kidney disease progression. Sodium intake should be moderated according to dietary guidelines. E. Taking Tolvaptan as prescribed is appropriate. Tolvaptan is a vasopressin V2-receptor antagonist shown to slow cyst growth and kidney function decline in selected patients with PKD. Adherence to prescribed therapy is important for disease management. F. Taking aspirin daily is not standard practice for PKD and could increase the risk of bleeding, particularly if cysts are present in the kidneys. G. Maintaining blood pressure control through diet (low sodium, balanced nutrition) and medications is essential. Hypertension is a major contributor to PKD progression and cardiovascular complications. H. Staying hydrated by drinking enough fluids is recommended. Adequate fluid intake helps prevent kidney stones, urinary tract infections, and may reduce vasopressin-mediated cyst growth. I. Avoiding high-protein diets is advised. Excessive protein can increase kidney workload and accelerate glomerular hyperfiltration, which may worsen kidney function over time. A moderate-protein diet is usually recommended.