A nurse is caring for a patient who has impaired speech. What actions should the nurse take?

Avoid using visual aids for communication.

Allow extra time to communicate with the patient.

Complete sentences for the patient.

Ask open-ended Questions.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Visual aids can be very helpful for patients with impaired speech. They can use pictures, written words, or devices to help express their thoughts2324.

Choice B rationale

Allowing extra time to communicate with the patient is crucial. It can reduce frustration and improve the effectiveness of communication2324.

Choice C rationale

Completing sentences for the patient can be disrespectful and may not accurately convey the patient’s thoughts2324.

Choice D rationale

Asking open-ended questions can be challenging for a person with impaired speech. It’s better to ask yes/no questions or use other communication strategies2324.

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Correct Answer is B

Explanation

Choice A rationale

Troponin is a cardiac enzyme which indicates a client has experienced a myocardial infarction. It is not a laboratory test that supports a diagnosis of malnutrition.

Choice B rationale

Albumin is a measure of plasma proteins which reflects the nutritional condition of a client experiencing anorexia and malnutrition over an extended period of time. Therefore, a nurse

should expect altered albumin levels in a client who reports anorexia and is experiencing malnutrition.

Choice C rationale

Total bilirubin is altered in clients who are experiencing hepatobiliary disease. It is not a laboratory test that supports a diagnosis of malnutrition.

Choice D rationale

Creatine kinase is a cardiac enzyme which is useful in the diagnosis of a myocardial infarction. It is not a laboratory test that supports a diagnosis of malnutrition.

A. Surgical debridement of the wound B. Increased drainage from the wound C. Documenting the wound status daily D. Increased monitoring of the wound condition

Correct Answer is A

Explanation

Choice A rationale

A black pressure ulcer indicates necrotic tissue, which often requires surgical debridement.

Choice B rationale

Increased drainage from the wound is not typically associated with a black pressure ulcer.

Choice C rationale

While documenting the wound status daily is part of wound care, it is not a specific event anticipated when planning care for a patient with a black pressure ulcer.

Choice D rationale

Increased monitoring of the wound condition is part of wound care, but it is not a specific event anticipated when planning care for a patient with a black pressure ulcer.

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A nurse is caring for a patient who has impaired speech. What actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?

Correct Answer is B

Explanation

The nurse notes that a patient has a black pressure ulcer on the left hip. Which event will the nurse anticipate when planning care for this patient?

Correct Answer is A

Explanation

A nurse is caring for a patient with a nasogastric (NG) tube and tests the pH of the secretions to verify correct placement of the tube. What pH reading should the nurse expect?

A nurse is educating a patient who recently had a colostomy. What information should the nurse include in the teaching?

A nurse is providing care for a patient in a long-term care facility who is receiving enteral feedings via a nasogastric (NG) tube.What action should the nurse take before administering the tube feeding?

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr?

A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?

A nurse is preparing to instill 840 mL of enteral nutrition via a patient’s gastrostomy tube over 24 hours using an infusion pump. How many mL/hr should the nurse set the infusion pump to deliver?