The nurse is educating the family of a patient with expressive aphasia from a cerebral vascular accident (CVA/stroke). Which statement by the family best indicates teaching was effective?
“We should carry a pen and a pad of paper around for communication.”
“He will use the board with pictures to communicate with us nonverbally for now.”
“We can expect him to recover full use of speech vocabulary in 1 day.”
“It is important to thicken all his drinks to prevent aspiration.”
The Correct Answer is B
Choice A reason: Carrying a pen and paper aids written communication, but expressive aphasia impairs verbal expression, not necessarily writing. A picture board is more effective for nonverbal communication, making this less optimal for immediate needs in expressive aphasia.
Choice B reason: Using a picture board for nonverbal communication is the best strategy for expressive aphasia, as it allows the patient to convey needs visually when verbal speech is impaired. This statement reflects effective understanding of communication alternatives, making it correct.
Choice C reason: Expecting full speech recovery in 1 day is unrealistic, as expressive aphasia recovery varies and often requires prolonged therapy. This statement indicates a misunderstanding of stroke recovery, making it incorrect for effective teaching.
Choice D reason: Thickening drinks prevents aspiration in dysphagia, not directly related to expressive aphasia, which affects speech production. This statement addresses a different stroke complication, making it irrelevant to the teaching focus on communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B,D,A,C
Explanation
Choice A reason: Closing doors first (1, 2, 3, 4) delays activating the alarm and evacuating the client, risking patient safety and delayed response. Activating the alarm and ensuring patient safety are higher priorities, making this incorrect.
Choice B reason: The RACE protocol (Rescue, Alarm, Contain, Contain Extinguish) prioritizes: activating the alarm (2) to notify others, moving the client (4) to safety, closing doors (1) to contain the fire, and extinguishing (3) if safe, making this correct.
Choice C reason: Moving the client first (4, 2, 3, 1) delays notifying others via the alarm, risking broader safety. The alarm ensures a coordinated response, followed by evacuation, making this order incorrect.
Choice D reason: Activating the alarm first (2, 1, 3, 4) is correct, but extinguishing before moving the client (4) risks patient exposure. Evacuation precedes extinguishing, as per RACE, making this order incorrect.
Correct Answer is C
Explanation
Choice A reason: Pernicious anemia causes vitamin B12 deficiency, leading to fatigue and neurological issues, not hematuria. Blood-tinged urine is unrelated to this condition, making it an incorrect cause of the observed finding.
Choice B reason: Dehydration concentrates urine, causing dark color but not blood-tinging. Hematuria suggests irritation or infection, not fluid status, making dehydration an incorrect explanation for blood in the catheter bag.
Choice C reason: Bladder infection (cystitis) irritates the bladder mucosa, causing hematuria, common with indwelling catheters due to bacterial entry. Blood-tinged urine aligns with this, making it the correct cause to recognize.
Choice D reason: Prostate enlargement may cause hematuria in males, but catheter-related blood-tinged urine is more likely from infection. Without gender specificity, infection is the primary concern, making this less likely.
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