A nurse is caring for a patient who has polycystic kidney disease (PKD). Which of the following findings should the nurse expect?

Choice A reason: Confusion is not a typical symptom of polycystic kidney disease. While severe electrolyte imbalances or uremia in advanced kidney failure could lead to altered mental status, confusion is not an expected early or direct manifestation of PKD. Choice B reason: Flank pain is a hallmark symptom of polycystic kidney disease. It results from the enlargement of fluid-filled cysts in the kidneys, which stretch the renal capsule and cause discomfort. Pain may be dull or sharp and is often persistent or intermittent depending on cyst growth or rupture. Choice C reason: Hypotension is not commonly associated with PKD. In fact, hypertension is a frequent complication due to the disruption of renal blood flow and activation of the renin-angiotensin-aldosterone system. Managing blood pressure is a critical aspect of PKD care. Choice D reason: Urinary retention is not a typical feature of PKD. While urinary tract infections may occur due to cysts or obstruction, retention is more commonly linked to neurologic or obstructive urologic conditions, not PKD.