The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find in the patient's plan of care? (Select all that apply.)
Use a picture board.
Provide pencil and paper.
Obtain an interpreter.
Speak slowly and clearly.
Speak loudly.
Correct Answer : A,B,D
A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Heberden nodes: These are bony swellings commonly seen in osteoarthritis, particularly affecting the distal interphalangeal joints of the fingers, not typically associated with rheumatoid arthritis (RA).
B. Early morning stiffness: RA is characterized by prolonged morning stiffness lasting more than 30 minutes, which improves with activity, distinguishing it from the short-lived stiffness seen in osteoarthritis.
C. Pain increasing by activity: This is more characteristic of osteoarthritis, where joint pain typically worsens with use and activity. RA pain often improves with movement as the joints "warm up."
D. Autoimmune disease: RA is an autoimmune condition where the body's immune system attacks its own tissues, leading to inflammation and joint damage.
E. Low-grade fever: Low-grade fever can be a systemic symptom of RA due to the autoimmune inflammatory process, which is not a feature of osteoarthritis.
Correct Answer is D
Explanation
A. “Take off work for the rest of the day to rest at home.": This advice is not adequate for such a high blood pressure reading, which indicates a hypertensive crisis that requires immediate medical intervention.
B. "Return to work and have your blood pressure rechecked in 2 days.": This is inappropriate as it delays necessary urgent medical evaluation and treatment.
C. "Take two doses of blood pressure medication right now.": Without medical supervision, this could be dangerous and is not appropriate in an emergency situation where the blood pressure is critically high.
D. "Sit quietly while we call 911 to request an ambulance.": A blood pressure of 220/120 mm Hg suggests a hypertensive emergency, which can lead to life-threatening complications like stroke or heart attack. The patient needs immediate medical attention, and calling 911 is the appropriate response.
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