Which signs and symptoms characterize expressive aphasia?

Difficulty initiating speech

Difficulty understanding the written and spoken word

Total inability to communicate

Stuttering and spitting

Answer and Explanation

The Correct Answer is A

A. Difficulty initiating speech

This is a characteristic symptom of expressive aphasia. Individuals with expressive aphasia have difficulty initiating speech and may produce speech that is slow, effortful, and lacking in grammatical structure.

B. Difficulty understanding the written and spoken word

This symptom is not typically associated with expressive aphasia. Instead, difficulty understanding language, both written and spoken, is more commonly seen in receptive aphasia, also known as Wernicke's aphasia.

C. Total inability to communicate

While expressive aphasia can severely impair verbal communication, it does not result in a total inability to communicate. Individuals with expressive aphasia may still be able to communicate to some extent using nonverbal means, gestures, or writing.

D. Stuttering and spitting

Stuttering and spitting are not characteristic symptoms of expressive aphasia. Stuttering is a speech disorder characterized by interruptions in the flow of speech, while spitting is not typically associated with aphasia.

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Correct Answer is C

Explanation

A. Perform passive range of motion on each extremity:

While passive range of motion exercises are important for preventing contractures and maintaining joint mobility in immobilized clients, they are not the highest priority in this situation. Airway management takes precedence over mobility exercises.

B. Monitor the client's electrolyte levels:

Monitoring electrolyte levels is important for overall assessment and management of the client's health, but it is not the highest priority when the client's airway and breathing are compromised.

C. Suction saliva from the client's mouth:

This is the correct answer. Suctioning saliva from the client's mouth helps maintain a clear airway and prevents aspiration. Unconscious clients are at risk for pooling of oral secretions, which can obstruct the airway and lead to respiratory complications.

D. Record the client's intake and output:

While monitoring intake and output is an essential part of nursing care, it is not the highest priority when the client's airway and breathing are compromised.

A. "These drugs inhibit the action of acetylcholine B. "These drugs help you urinate." C. "These drugs will decrease your eye pressure." D. "These drugs will assist in lowering your heart rate."

Correct Answer is A

Explanation

A. "These drugs inhibit the action of acetylcholine":

This response is accurate. Anticholinergic medications work by blocking the action of acetylcholine, a neurotransmitter involved in various functions in the body, including muscle control. In Parkinson's disease, there is an imbalance between dopamine and acetylcholine, leading to motor symptoms such as tremors and rigidity. By inhibiting the action of acetylcholine, anticholinergic drugs help rebalance neurotransmitter activity and alleviate some of the motor symptoms associated with Parkinson's disease.

B. "These drugs help you urinate":

This statement is not directly related to the use of anticholinergic medications in Parkinson's disease. While some anticholinergic drugs can indeed relax the smooth muscle of the bladder and improve urinary symptoms, this is not the primary indication for their use in Parkinson's disease.

C. "These drugs will decrease your eye pressure":

While anticholinergic medications can be used to dilate the pupils and decrease intraocular pressure, this is not typically the reason for their use in Parkinson's disease. While some anticholinergic medications may have ocular effects, they are primarily used to address motor symptoms associated with Parkinson's disease.

D. "These drugs will assist in lowering your heart rate":

While some anticholinergic medications may have effects on heart rate by blocking parasympathetic nervous system activity, this is not the primary indication for their use in Parkinson's disease. The focus of anticholinergic therapy in Parkinson's disease is primarily on addressing motor symptoms rather than cardiovascular effects.

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Which signs and symptoms characterize expressive aphasia?

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