Correct Answer: D

Rationale: While it is positive that the client has taken the initiative to research the procedure online, it is essential for the nurse to assess the client's actual understanding and ability to perform the fingerstick blood sugar analysis correctly. The best course of action would be for the nurse to watch the client perform a return demonstration of the skill. This will allow the nurse to provide real-time feedback, correct any errors, and ensure that the client is performing the procedure accurately and safely. Watching a return demonstration is a critical step in the client's learning process, as it confirms their comprehension and ability to apply the information effectively. It also enables the nurse to address any misconceptions or gaps in knowledge that may not have been evident from the client's statement alone.

Correct Answer: B

Rationale: An epiphyseal fracture involves the distal or proximal epiphysis of a long bone, such as the femur, tibia, or humerus. Long bones are characterized by having a long shaft with distinct ends (epiphyses). The epiphysis is the site of bone growth and plays a crucial role in bone development. Therefore, understanding the classification of the bone as long helps the nurse in providing appropriate care for the patient with an epiphyseal fracture, such as monitoring growth plate involvement and ensuring proper immobilization for healing.

Correct Answer: D

Rationale: The nurse should ask the patient if she completed the antibiotic prescribed for the first urinary tract infection because it is important to determine if the initial infection was fully treated. If the antibiotic course was not completed as prescribed, it could lead to a recurrence of the infection due to incomplete eradication of the bacteria. Additionally, incomplete treatment can lead to antibiotic resistance, making it harder to treat future infections. Understanding if the patient followed through with the prescribed treatment is crucial in assessing the current situation and planning appropriate interventions.

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: 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.