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
Explanation
Choice A reason: Tidaling in the water seal chamber is normal, reflecting pleural pressure changes with breathing. It indicates a patent system, not requiring immediate reporting, making this incorrect.
Choice B reason: Continuous bubbling in the water seal chamber indicates an air leak, possibly from a system breach or lung injury. This requires immediate reporting to prevent pneumothorax, making it the correct choice.
Choice C reason: Drainage of 50 mL over 8 hours is within normal limits for a chest tube, not indicating hemorrhage. It requires monitoring but not immediate reporting, making this incorrect.
Choice D reason: A secured chest tube is expected and indicates proper maintenance. It does not warrant reporting, as it reflects standard care, making this incorrect for immediate concern.
Correct Answer is C
Explanation
Choice A reason: A 3-inch needle is too long for most IM injections; 1–1.5 inches is standard for adults. This risks hitting bone or tissue, making this incorrect for safe injection.
Choice B reason: IM injections require a 90-degree angle to reach muscle. A 45-degree angle is for subcutaneous injections, making this incorrect for intramuscular administration technique.
Choice C reason: Aspirating before injecting ensures the needle is not in a blood vessel, preventing intravenous administration. This safety step is standard for IM injections, making it correct.
Choice D reason: Massaging the site can cause medication leakage or tissue damage. Gentle pressure is preferred, making massage incorrect for post-injection care in IM administration.
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