Nursing a Concept Based Approach to Learning Test Bank

Correct Answer: C

Rationale: In disseminated intravascular coagulation (DIC), the client is experiencing joint pain due to the formation of microthrombi which can lead to ischemia and inflammation within the joints. Heat application is appropriate as it can help improve circulation, reduce pain, and promote relaxation of the joints. Heat helps to increase blood flow to the affected area, which can aid in reducing pain and stiffness in the joints. Additionally, heat can also help to soothe the inflamed tissues and promote comfort for the client. Splints, cool compresses, and ice are not appropriate interventions for joint pain in DIC and may not provide the same level of relief as heat therapy.

Correct Answer: C

Rationale: High blood pressure, also known as hypertension, is a significant risk factor for the development of cardiomyopathy. Cardiomyopathy is a condition where the heart muscle becomes weakened or enlarged, affecting its ability to pump blood effectively. If left untreated, high blood pressure can lead to chronic stress on the heart muscle, ultimately causing cardiomyopathy. The client's reluctance to take medication for high blood pressure puts them at an increased risk of developing cardiomyopathy due to the continued strain on the heart over time. It is essential for the client to understand the potential consequences of uncontrolled hypertension and to work with healthcare providers to find a suitable treatment plan to manage their blood pressure effectively and prevent the development of cardiomyopathy.

Correct Answer: B

Rationale: When addressing a client's non-adherence to treatment, a nonjudgmental approach is most effective. This involves showing empathy, understanding, and support without criticizing or condemning the client. By adopting a nonjudgmental attitude, the nurse can create a safe environment for open communication and collaboration to explore the reasons behind the client's non-adherence. This approach helps build trust and rapport, which are essential for promoting positive behavior change and improving treatment adherence. In contrast, being indifferent, demanding, or confrontational can lead to defensiveness, resistance, and further non-adherence in the client.

Correct Answer: B

Rationale: Congenital defects are categorized according to the pathophysiology and hemodynamics of the defect. This means that defects are grouped based on the underlying mechanisms that lead to the defect and how these abnormalities impact the flow of blood or other bodily functions. This classification allows healthcare providers to better understand the nature of the defect and tailor treatment plans accordingly. It helps in determining the best course of action, whether it be medical management, surgical intervention, or monitoring for potential complications. By categorizing congenital defects in this way, healthcare providers can provide more targeted and effective care for affected individuals.

Correct Answer: A

Rationale: A. Take the medication as directed with clear water only: Alendronate should be taken with a full glass of plain water on an empty stomach in the morning at least 30 minutes before consuming any food, drink, or other medications. Avoid taking it with any other liquids besides plain water, as other beverages can interfere with the absorption of the drug.