What action should be avoided in the treatment of a client with advanced polycystic kidney disease?

When treating a client with advanced polycystic kidney disease, requesting a prescription for ketorolac should be avoided because this medication is a nonsteroidal anti-inflammatory drug (NSAID) that can compromise renal function, especially in individuals with existing kidney disease. In advanced stages of polycystic kidney disease, the kidneys are already impaired, and the use of NSAIDs can lead to further deterioration of renal function due to their effects on renal blood flow and glomerular filtration rate.

In contrast, monitoring blood pressure, encouraging fluid intake, and recommending daily weight checks are crucial actions in the management of patients with this condition. Maintaining blood pressure control helps reduce the risk of further kidney damage. Encouraging adequate fluid intake can help prevent dehydration and manage urinary output, while daily weight checks can assist in identifying fluid retention, which is common in kidney disease.