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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Wrist restraint orders typically require renewal every 24 hours, not every 36 hours.
B. Checking the client's range of motion every 6 hours is not specific to the use of wrist restraints.
C. Secure the restraints with a quick-release knot, not a square knot, to allow for quick removal in case of emergency.
D. Making sure two fingers fit under the restraints is important to ensure that they are not too tight and do not cause injury to the client.
Correct Answer is D
Explanation
Rationale:
A. Tortuous veins are a common finding in clients with deep-vein thrombosis and may not require immediate reporting.
B. Clammy skin may be a sign of poor circulation but is not specific to deep-vein thrombosis and may not require immediate reporting.
C. Bradycardia is not typically associated with deep-vein thrombosis and may not require immediate reporting.
D. Calf swelling is a common sign of deep-vein thrombosis and should be reported to the provider immediately.
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