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?

Determine the client's ability to use a communication board.

Provide the teaching without expecting the client to respond.

Avoid the use of facial gestures during the instructions.

Speak with a loud voice while providing the information.

Answer and Explanation

The Correct Answer is A

A. Determine the client's ability to use a communication board.: Expressive aphasia affects the ability to produce language. A communication board allows the client to point to pictures or words, facilitating two-way communication during the teaching process.

B. Provide the teaching without expecting the client to respond.: The nurse must evaluate the client’s understanding (the "teach-back" method) to ensure the information was grasped, even if the response is non-verbal.

C. Avoid the use of facial gestures during the instructions.: Non-verbal cues, gestures, and facial expressions are essential tools to help a client with aphasia understand the context of what is being said.

D. Speak with a loud voice while providing the information.: Aphasia is a language processing disorder, not a hearing impairment. Speaking loudly is unnecessary and can be perceived as patronizing.

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Correct Answer is C

Explanation

A. "He appears anxious about the transfer.": This is a subjective observation. While helpful, it is not the most critical clinical data point.

B. "He is voiding adequately.": This is vague. A transfer report should include specific data (e.g., "Voided 400 mL of clear yellow urine this shift").

C. "He is allergic to sulfa.": Safety information, particularly allergies, is the most critical information to communicate to the receiving nurse to prevent a life-threatening medication error.

D. "His partner has been visiting.": This is social information and, while helpful for holistic care, is not a priority for a clinical transfer report.

A. Clinical breast examination B. Fasting blood glucose C. Colonoscopy D. Testicular examination

Correct Answer is C

Explanation

A. Clinical breast examination: This usually begins in a woman's 20s or 30s as part of routine wellness exams.

B. Fasting blood glucose: Screening for Diabetes/Prediabetes is currently recommended to begin at age 35 for most adults.

C. Colonoscopy: While some guidelines have recently moved the start age to 45 for average-risk individuals, age 50 has long been the traditional benchmark for beginning colorectal cancer screenings via colonoscopy.

D. Testicular examination: This is a screening that should be performed regularly by males starting in adolescence/young adulthood.

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