A patient is diagnosed with Receptive Aphasia. The nurse understands this patient can:

Neither talk nor comprehend

Talk but do not comprehend

No alteration in speech and language

Comprehend but not able to talk

Answer and Explanation

The Correct Answer is B

A) Neither talk nor comprehend: This description does not accurately characterize receptive aphasia. Receptive aphasia, also known as Wernicke's aphasia, primarily affects comprehension, while speech production may remain intact. Patients with this condition may speak fluently but have difficulty understanding spoken or written language.
B) Talk but do not comprehend: Receptive aphasia is characterized by the ability to produce speech fluently but with impaired comprehension. Patients can talk and may produce coherent-sounding speech, but they struggle to understand others' speech and may not grasp the meaning of what they are saying.
C) No alteration in speech and language: Receptive aphasia involves specific alterations in speech and language, particularly in comprehension. While speech may be fluent, the content often lacks meaning or coherence, and comprehension is significantly impaired.
D) Comprehend but not able to talk: This description aligns more with expressive aphasia (Broca's aphasia), where patients have difficulty producing speech but generally retain comprehension abilities. Receptive aphasia affects comprehension while allowing relatively intact speech production.

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Correct Answer is A

Explanation

A. Egophony: Egophony is a type of abnormal voice sound transmission where the letter "E" is heard as an "A" when auscultated through a stethoscope. This can indicate underlying lung pathology, such as consolidation or infection, that alters the way sounds are transmitted through the lung tissue.
B. Normal voice transmission: Normal voice transmission would involve hearing the letter "E" clearly and accurately as the patient says it, without distortion. The presence of an "A" sound indicates an abnormal finding, not a normal one.
C. Air-filled lungs: Air-filled lungs typically transmit voice sounds clearly and normally. If the sound changes to an "A," this suggests a pathology that alters sound transmission, rather than indicating simply air-filled lungs.
D. Bronchophony: Bronchophony refers to the increased clarity of spoken sounds heard through the stethoscope over areas of lung consolidation, but it does not specifically describe the transformation of the letter "E" to "A." The specific change in sound transmission described here is characteristic of egophony.

A. Obtunded B. Stupor C. Coma D. Lethargy

Correct Answer is C

Explanation

A. Obtunded: Obtunded describes a state where a person has reduced alertness and is difficult to arouse but can respond to stimuli, such as verbal commands or physical touch. The client’s eyes remain closed and they are unresponsive to all stimuli, which is more severe than obtunded.
B. Stupor: Stupor is a condition where a person is in a near-unconscious state and responds only to vigorous or painful stimuli. Although the client is unresponsive to all stimuli, stupor usually involves some minimal response to pain or other strong stimuli, which doesn’t match the complete unresponsiveness described.
C. Coma: A coma is a profound state of unconsciousness where a person is unresponsive to all stimuli, including verbal, visual, and painful stimuli, and their eyes remain closed. This description matches the client’s condition of being unresponsive and with closed eyes.
D. Lethargy: Lethargy is characterized by excessive drowsiness or a reduced level of consciousness where the individual can be aroused with minimal effort. This state does not accurately describe a client who is unresponsive to all stimuli and whose eyes remain closed.

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A patient is diagnosed with Receptive Aphasia. The nurse understands this patient can:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a respiratory physical assessment, the nurse directs the patient to say and repeat the letter E for the transmitted voice sounds assessment. The nurse by auscultation hears the letter A instead of E. This is known as:

Correct Answer is A

Explanation

Assessment of the client reveals that he is unresponsive to all stimuli and his eyes remain closed. The nurse documents the client's level of consciousness as which of the following?

Correct Answer is C

Explanation

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