A nurse is caring for a client in the clinic

Exhibits

Complete the following sentence by using the list of options.

The nurse should first address the client's

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A. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty": This description aligns more with restrictive cardiomyopathy. Dilated cardiomyopathy (DCM) involves the enlargement and weakening of the ventricles rather than fibrous or fatty tissue replacement.
B. "Your heart condition is caused by excessive stretching of the ventricles": Dilated cardiomyopathy is characterized by the excessive stretching of the ventricles, leading to poor contraction and reduced pumping efficiency. This is the most accurate explanation of the condition.
C. "Your heart condition is caused by thickening of the ventricular walls and septum": This description refers to hypertrophic cardiomyopathy, not dilated cardiomyopathy. Hypertrophic cardiomyopathy is characterized by thickened heart walls, not dilation.
D. "Your heart condition is caused from stiffening of the walls of the ventricles": This description refers to restrictive cardiomyopathy, where the heart walls become stiff and less able to expand and contract properly, not dilated cardiomyopathy.

A. Crohn's disease has the appearance of a patchwork quilt with some areas that are clear and some with sores: This description simplifies the concept of Crohn's disease by using the analogy of a patchwork quilt, which helps convey the characteristic "skip lesions" seen in the condition. In Crohn's disease, areas of inflammation (sores) are interspersed with healthy tissue, making this analogy easily understandable for a client without medical knowledge.
B. Crohn's disease looks like what would appear to be a second-degree burn in the colon and rectum areas only: This description falsely limits Crohn's disease to only the colon and rectum. Crohn's disease can affect any part of the gastrointestinal tract, from the mouth to the anus, and not just the colon or rectum. Additionally, comparing it to a burn may confuse the client, as it does not accurately depict the disease's pathophysiology.
C. Crohn's disease is characterized by a transmural granulomatous inflammation that can affect any part of the gastrointestinal tract: While this statement is medically accurate, it is complex and uses terminology (transmural, granulomatous) that may be difficult for a layperson to understand. For client education, it is better to use simpler language that avoids jargon and focuses on the general concept of the disease.
D. Crohn's disease causes continuous inflammation of the mucosa and sub-mucosa of the colon and rectal linings: This statement describes ulcerative colitis, not Crohn's disease. While Crohn's disease involves inflammation, it is characterized by patchy, non-continuous lesions (skip lesions), which differ from the continuous inflammation seen in ulcerative colitis.