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 C
Explanation
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.

Correct Answer is D
Explanation
Rationale:
A. Bowling is a low-impact activity that may not provide the weight-bearing exercise needed to help prevent osteoporosis.
B. Jogging is a high-impact activity that may not be appropriate for an older adult at risk for osteoporosis due to the potential for joint and bone stress.
C. Passive range-of-motion exercises are not weight-bearing and may not provide the same benefits as weight-bearing exercise.
D. Walking is a weight-bearing exercise that can help to increase bone density and reduce the risk of osteoporosis.
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