A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following is an appropriate response by the nurse?

"Incorporate nonverbal cues in the conversation."

"Ask multiple choice questions as part of the conversation."

"Use a higher-pitched tone of voice when speaking."

"Use simple child-like statements when speaking."

Answer and Explanation

The Correct Answer is A

A. "Incorporate nonverbal cues in the conversation."

This is an appropriate response. Nonverbal cues, such as gestures, facial expressions, and body language, can help convey meaning and support comprehension for individuals with aphasia. Using visual aids or pointing to objects can also enhance communication.

B. "Ask multiple choice questions as part of the conversation."

While multiple choice questions can be helpful in some situations, they may not always be appropriate for individuals with aphasia. It's important to assess the client's specific communication needs and preferences. Open-ended questions and simple, direct language may be more effective for facilitating communication.

C. "Use a higher-pitched tone of voice when speaking."

Altering the tone of voice may not necessarily improve communication for individuals with aphasia. Instead, it's important to speak in a clear, natural tone at a moderate pace. Speaking too loudly or using a higher-pitched voice may be perceived as patronizing or condescending.

D. "Use simple child-like statements when speaking."

While it's important to use simple and clear language, using child-like statements may be inappropriate and demeaning to the client. Respectful communication that acknowledges the individual's intelligence and dignity is essential. Simplify language and sentences as needed, but avoid speaking down to the client.

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Correct Answer is A

Explanation

A. Orthostatic hypotension:

Orthostatic hypotension, a sudden drop in blood pressure when standing up, is a potential adverse effect of levodopa therapy. This can lead to dizziness and increase the risk of falls, thus supporting the nursing diagnosis Risk for Injury.

B. Nausea and vomiting:

Nausea and vomiting are common side effects of levodopa therapy. While they can cause discomfort and dehydration, they are less directly related to the risk of physical injury compared to orthostatic hypotension.

C. Anorexia and depression:

Anorexia (loss of appetite) and depression can occur as adverse effects of levodopa therapy. While they can affect the patient's overall well-being and quality of life, they are not directly associated with an increased risk of physical injury.

D. Tachycardia and palpitations:

Tachycardia (rapid heart rate) and palpitations are less common adverse effects of levodopa therapy. While they may indicate cardiovascular issues, they are not typically associated with a direct risk of physical injury.

A. Aura phase B. Presence of automatisms C. Postictal phase D. Presence of absence seizures

Correct Answer is C

Explanation

A. Aura phase:

The aura phase occurs before the seizure and is characterized by subjective sensations or experiences that some individuals may have. It serves as a warning sign that a seizure is about to occur. This phase precedes the seizure itself and is not applicable to the period immediately afterward.

B. Presence of automatisms:

Automatisms refer to repetitive, involuntary movements or actions that some individuals may exhibit during certain types of seizures, such as complex partial seizures. They are not typically observed during the postictal phase of a generalized tonic-clonic seizure.

C. Postictal phase:

The postictal phase, also known as the postictal state, refers to the period following a seizure during which the individual may experience confusion, drowsiness, or other altered states of consciousness. This phase typically lasts for minutes to hours and is characterized by gradual recovery of normal function.

D. Presence of absence seizures:

Absence seizures are characterized by brief episodes of altered consciousness, often manifesting as staring spells or momentary loss of awareness. They are distinct from generalized tonic-clonic seizures and do not involve the same postictal phase characterized by drowsiness and altered arousal.

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A nursing is caring for a client who has aphasia following a stroke. A family member asks the nurse how she should communicate with the client. Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which adverse effects associated with levodopa therapy would support the nursing diagnosis Risk for Injury?

Correct Answer is A

Explanation

A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

Correct Answer is C

Explanation

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