The nurse prepares to teach a client with polycystic kidney disease about self-management. Which instructions should the nurse include in the teaching? Select all that apply.

Rationale: A. Polycystic kidney disease (PKD) is a genetic disorder that progressively leads to chronic kidney disease (CKD). Medications such as ACE inhibitors like lisinopril are used to control hypertension and slow progression, but they do not prevent CKD entirely. This statement is inaccurate as written, so it should not be included. B. Clients with kidney disease are typically instructed to monitor weight daily, not weekly, to detect fluid retention early. Weekly weights are insufficient for early detection of fluid imbalance, making this instruction inappropriate. C. Flank pain is a common symptom of PKD due to cyst enlargement. Applying dry heat can help relieve discomfort and is an appropriate nonpharmacologic intervention. D. Hypertension is a major complication of PKD and contributes to disease progression. Daily blood pressure monitoring helps with early detection and management, making this an essential self-care instruction. E. PKD is associated with intracranial aneurysms, which can present with visual disturbances or neurological symptoms. Immediate reporting of visual changes is critical, as it may indicate a life-threatening complication.