Final answer:
For a patient with polycystic kidney disease experiencing severe pain due to an infected cyst, the nurse should administer pain management as prescribed and closely monitor the patient's response to antibiotic therapy, considering the risk of drug-resistant infections.
Step-by-step explanation:
A client with polycystic kidney disease (PKD) who is receiving antibiotics for an infected cyst and experiencing severe pain should receive immediate and appropriate pain management. Pain management may include the administration of analgesics or anti-inflammatory drugs as per the clinical practice guidelines and as prescribed by the healthcare provider. The severity of pain in PKD can be attributed to the enlarged cysts causing pressure and discomfort. In addition, given that the client is already on antibiotics for a cyst infection, it's crucial to monitor the infection's response to the medication, especially considering the risk of resistant bacterial strains, such as those resistant to carbapenems.
For patients developing severe infections leading to sepsis, management may include additional interventions such as intravenous fluids, medications to maintain blood pressure, and in some cases, dialysis. These treatments aim to support the client through septic shock and prevent further complications such as renal failure. It is also essential that the healthcare team regularly monitors the patient's condition, considering the high fatality rates associated with severe infections like CRE (Carbapenem-Resistant Enterobacteriaceae) infections, which have resistance to many conventional antibiotics.