A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

Ask the client to multi-task.

Speak to the client about one idea at a time.

Focus on a single form of communication.

Limit questions to yes and no answers.

Answer and Explanation

The Correct Answer is B

A.   This would be overwhelming for a client with global aphasia, as they have difficulty processing information.
B.   This is the correct approach. Breaking down information into smaller, manageable chunks makes it easier for the client to understand.
C.   While consistency is important, limiting communication to one method can be restrictive. It's better to use a variety of techniques (verbal, nonverbal, written, etc.) to support understanding.
D.   This can be limiting and frustrating for the client. It's essential to encourage all forms of communication, even if it's difficult.

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Correct Answer is C

Explanation

A. A slight increase in temperature is common after surgery and might not necessarily indicate shock.
B. A slight decrease in respiratory rate is not indicative of shock. In fact, as shock progresses, respiratory rate often increases.
C. An increased heart rate is a classic compensatory mechanism in response to decreased blood volume, as the body tries to maintain blood pressure.
D. While a decrease in urinary output can be a sign of impending shock, it's often a later sign. In the early stages, the body prioritizes blood flow to vital organs, and urine output may still be within normal limits.

A. Measure the client's apical pulse. B. Measure the client's blood pressure. C. Offer the client a light snack. D. Weigh the client.

Correct Answer is A

Explanation

A. This is crucial before administering digoxin. Digoxin slows down the heart rate, and if it's already too slow, administering the medication could be dangerous.
B. Monitoring blood pressure is important for patients on digoxin. However, it's not the priority before administration.
C. This is not necessary before administering digoxin.
D. Weight can influence digoxin dosage but it's not a prerequisite before each administration.

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A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

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