A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?
Avoid the use of facial gestures during the instructions.
Determine the client's ability to use a communication board.
Speak with a loud voice while providing the information.
Provide the teaching without expecting the client to respond.
The Correct Answer is B
Rationale:
A. Avoiding the use of facial gestures during the instructions may not be effective for a client with expressive aphasia.
B. Determining the client's ability to use a communication board is appropriate because it helps the nurse understand how the client communicates.
C. Speaking with a loud voice while providing the information may not be effective for a client with expressive aphasia.
D. Providing the teaching without expecting the client to respond may not be effective for a client with expressive aphasia.
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Correct Answer is C
Explanation
A. Applying lidocaine gel to the urethra may provide additional lubrication but does not address the immediate issue of resistance during catheter insertion.
B. Inflating the catheter's balloon is inappropriate at this stage, as the catheter is not properly positioned for urine flow, and doing so could cause injury.
C. Lowering the penis to a 45° angle helps to straighten the urethra and can facilitate easier passage of the catheter, making it the most appropriate action.
D. Twisting the catheter gently is not recommended, as this may cause trauma to the urethra or increase discomfort without resolving the resistance issue.
Correct Answer is A
Explanation
Rationale:
A. A photograph is a unique identifier that helps ensure the correct client receives the correct medications.
B. A medical diagnosis is not a unique identifier and may not be accurate if the client has multiple diagnoses.
C. A room number is not a unique identifier and may not be accurate if the client has been moved to a different room.
D. Age is not a unique identifier and may not be accurate if the client has multiple ages.
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