Homer is a 58-year-old male Caucasian who farms in the community. He seeks treatment in the clinic today for complaints of weakness and dizziness. Homer states that for the past two weeks he has not had any pep and that he feels too tired to finish chores. His past history includes COPD and hypertension. He admits to a forty-year history of smoking cigarettes and continues to smoke. Homer denies chest pain or shortness of breath. Homer has brought his current medications with him, which include: ASA 81 mg daily, Hydrochlorothiazide 50 mg daily. Homer denies any allergies to medications. Share your thoughts on possible reasons for Homer's weakness. What information would be important to gather from this patient? What tests or procedures might his provider believe would be important to perform?

Apatient who is 38 years of age is diagnosed with autosomal dominant polycystic kidney disease, a hereditary disease that results in fluid-filled cysts occupying space in the kidneys. the cysts can interfere with the function of the kidney and may burst and cause bleeding inside the kidney. the patient with polycystic kidney disease may or may not have a berry aneurysm of a blood vesseel in the brain that could lead to bleeding and death, cysts on the ovaries, and a mitral valve prolapse (in females) that can lead to dysrhythmias (irregular heart rhythms), or diverticula (outpouching of the bowel) that are susceptible to infection and inflammation and may lead to gastrointestinal bleeding. the patient is susceptible to retaining fluid in the abdomen so the abdomen is large to constipation, and to hypertension. there is no cure for the disease. the patient receives supportive care for the various symptoms or complications the patient may have. a. when explaining to the patient and the family about polycystic kidney disease, the nurse should explain what characteristics about an autosomal dominant genetic disease? b. how does variable expression of genetic characteristics play a role in the course of polycystic kidney disease and how can the nurse further predict the level of the disease? c. identify the roles of the nurse in integrating genetics in the nursing care provided for the patient.