Fundamental Concepts and Skills for Nursing Test Bank

Correct Answer: D

Rationale: The statement "My doctor told me I have a slight amount of protein in my urine" suggests that the patient has proteinuria, which is a condition where abnormal amounts of protein are found in the urine. Proteinuria can be an indication of a health problem affecting the renal system, such as kidney disease or dysfunction. This made the nurse suspect that the older female patient may have an issue with her renal system. Statements A, B, and C are common experiences related to urinary habits but do not specifically point towards a renal health problem like proteinuria does.

Correct Answer: C

Rationale: The statement "If I take my medications as prescribed, I'll feel better" best illustrates compliance with the medication plan. This statement shows an understanding of the importance of following the prescribed medication regimen and the potential positive outcomes of adherence to the plan. It demonstrates the client's willingness to adhere to the instructions given by the nurse, which is essential for successful medication management and treatment outcomes.

Correct Answer: A

Rationale: A beta blocker would likely be prescribed for an older adult client diagnosed with cardiomyopathy and a cardiac dysrhythmia. Beta blockers are commonly used to manage dysrhythmias by slowing down the heart rate, reducing the workload of the heart, and improving its efficiency. They can also help in preventing arrhythmias and improving overall cardiac function in individuals with cardiomyopathy. Additionally, beta blockers have been shown to reduce mortality and improve symptoms in patients with various cardiac conditions. Therefore, it is a suitable medication choice for this client's condition.

Correct Answer: B

Rationale: While it is important for individuals with cardiomyopathy to maintain a well-balanced diet that includes adequate protein, stating that increasing dietary protein specifically helps with cardiac cell repair may not be entirely accurate. The primary focus for individuals with cardiomyopathy should be on overall heart-healthy choices such as monitoring sodium intake, avoiding high-fat, high-cholesterol foods, and following a well-rounded diet plan. Protein can be a part of this plan but it should not be emphasized as the main component for cardiac cell repair. Consulting with a dietitian who can provide personalized guidance and recommendations based on the individual's specific condition is crucial.

Correct Answer: A

Rationale: Low blood flow in veins increases the risk for the development of a thrombus. When blood flow is slow or stagnant in veins, it can lead to the formation of blood clots or thrombi. This risk is further heightened in individuals who have conditions that affect blood flow, such as being sedentary or having a condition that impairs circulation. Thrombi can pose serious health risks if they break off and travel to other parts of the body, potentially causing blockages or even life-threatening complications like pulmonary embolism. Thus, low blood flow in veins is a key characteristic that increases the risk for thrombus formation.