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 D

Explanation

A. The normal P-R interval ranges from 0.12 to 0.20 seconds. A P-R interval longer than 0.20 seconds is considered prolonged and may indicate a first-degree AV block.
B. The T wave represents ventricular repolarization. Normally, the T wave is upright in most leads. An inverted T wave can indicate various conditions, including ischemia, electrolyte imbalances, or other abnormalities
C. The normal QRS duration ranges from 0.06 to 0.10 seconds. A QRS duration greater than 0.10 seconds indicates a delay in ventricular conduction, which could be due to a bundle branch block or other conduction abnormalities.
D. In a normal sinus rhythm, the P wave should consistently appear before each QRS complex. This reflects proper atrial depolarization followed by ventricular depolarization. This pattern indicates that the heart's electrical impulses are originating from the sinus node and are being properly conducted through the AV node to the ventricles.

A. Flexion and internal rotation of upper extremities B. Flexion and external rotation of upper extremities C. Extension and internal rotation of upper extremities D. Extension and external rotation of upper extremities

Correct Answer is A

Explanation

A. This description accurately depicts decorticate posturing. The characteristic feature of decorticate posturing is the flexion of the upper extremities (arms) and the extension of the lower extremities (legs). The internal rotation of the legs is often observed in this posture. This pattern is seen in severe brain damage, particularly involving the corticospinal tract.
B. External rotation of the arms is not characteristic of decorticate posturing. In decorticate posturing, the arms are flexed and positioned close to the body, with internal rotation being more typical. Therefore, this option does not accurately describe decorticate posturing.
C. Extension of the arms is more characteristic of decerebrate posturing rather than decorticate posturing. Decerebrate posturing involves the extension of both the arms and legs. Internal rotation of the arms is not a typical feature of decerebrate posturing, so this choice does not describe decorticate posturing.
D. Extension and external rotation of the arms describe decerebrate posturing rather than decorticate posturing. Decerebrate posturing is characterized by the extension of the arms and legs, not flexion. Therefore, this option does not describe decorticate posturing.

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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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