The nurse is teaching a client with polycystic kidney disease (PKD) about managing the condition. Which client statement indicates a need for further teaching?
Explanation & Rationale
Rationale: A. "I will follow a low-sodium diet to control my blood pressure" is correct and does not indicate a need for further teaching. Controlling blood pressure is crucial in PKD to slow the progression of kidney damage, and limiting sodium intake is a recommended strategy. B. "I need to have regular imaging studies to monitor my kidney cysts" is correct. Clients with PKD require ongoing monitoring with ultrasound, CT, or MRI to track cyst growth and kidney function. This demonstrates understanding of disease management. C. "I can take ibuprofen to manage any pain I experience" indicates a need for further teaching. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are nephrotoxic and can worsen kidney function in clients with PKD. Clients should use alternative pain management strategies, and this statement reflects a misunderstanding that requires correction. D. "I should increase my fluid intake to stay hydrated" is correct. Maintaining adequate hydration helps prevent kidney stones and urinary tract infections, which are common complications in PKD. This demonstrates appropriate knowledge of self-care.