A nurse is discussing various options for prenatal testing with a client who is at 7 weeks of gestation and has a family history of chromosomal abnormalities. Which of the following information should the nurse include?

Choice A reason: Echolalia refers to the repetition or echoing of words or phrases spoken by another person. It is commonly seen in conditions such as autism spectrum disorder or certain types of schizophrenia. In this case, the client is not repeating another person’s words but instead producing a string of unrelated words. Therefore, echolalia does not apply here.

Choice B reason: Word salad is characterized by a jumble of words and phrases that lack logical connection or meaning, making the speech incomprehensible. The client’s statement, “Run cats spin the rain throwing procedure mechanical paper lake,” is a classic example of word salad because it combines unrelated words into a nonsensical sequence. This reflects disorganized thought processes, which are a hallmark of schizophrenia. The nurse should document this as word salad to accurately capture the client’s speech disturbance.

Choice C reason: Neologisms are newly invented words or phrases that have meaning only to the individual using them. While neologisms are also common in schizophrenia, the client’s statement does not include invented words but rather real words strung together without logical meaning. Thus, neologisms are not the correct classification in this scenario.

Choice D reason: Clang association involves speech in which words are chosen based on their sound rather than their meaning, often producing rhyming or alliterative patterns. For example, a client might say, “Rain, train, pain, gain.” The client’s statement here does not demonstrate rhyming or sound-based connections but instead reflects disorganized, unrelated words. Therefore, clang association is not the correct documentation.

Choice A reason: Fluticasone is an inhaled corticosteroid used for long-term control of asthma. It is not required to be administered before other inhaled medications; bronchodilators are usually given first to open airways before corticosteroids.

Choice B reason: Rinsing the mouth and gargling after each use is correct because inhaled corticosteroids can cause oral candidiasis (thrush). Rinsing removes residual medication and reduces this risk.

Choice C reason: Fluticasone is not used as needed; it is a maintenance medication taken regularly to prevent inflammation. Rescue inhalers such as albuterol are used for acute symptom control.

Choice D reason: Growth may be slowed, not accelerated, in children using inhaled corticosteroids. Monitoring growth is important during long-term therapy.