Nokea
For the client who is experiencing expressive aphasia, which nursing intervention is most helpful in promoting communication?
- A. Speaking loudly.
- B. Using a picture board.
- C. Writing directions so client can read them.
- D. Speaking in short sentences.
Correct Answer: B
Rationale: A picture board is most helpful for expressive aphasia, allowing the client to point to images to communicate needs. Speaking loudly, writing directions, or short sentences are less effective for clients unable to verbalize.
You may also like to solve these questions
A client with lung cancer is being cared for by his wife at home. His pain is increasing in severity. The nurse recognizes that teaching has been effective when the wife does which of the following? Select all that apply.
- A. Administers long-acting or sustained-release oral pain formula (OxyContin) regularly around-the-clock.
- B. Administers immediate-release medication (oxycodone) for breakthrough pain.
- C. Avoids long-acting opioids due to her concern about addiction.
- D. Uses music for distraction as well as heat or cold in combination with medications.
- E. Substitutes acetaminophen (Tylenol) to avoid tolerance to the medications.
- F. Has her husband use a pain rating scale to measure the effectiveness at reaching his individual pain goal.
Correct Answer: A,B,D,F
Rationale: Effective pain management includes around-the-clock long-acting opioids (A), immediate-release opioids for breakthrough pain (B), non-pharmacologic methods like music or heat/cold (D), and using a pain scale to assess effectiveness (F). Avoiding long-acting opioids (C) or substituting acetaminophen (E) is not appropriate for severe cancer pain.
Which activity should a client with an ileal conduit avoid?
- A. Swimming.
- B. Walking.
- C. Heavy lifting.
- D. Reading.
Correct Answer: C
Rationale: Heavy lifting can strain the stoma site, increasing hernia risk.
The nurse is instructing a client with COPD how to do pursed-lip breathing. In which order should the nurse explain the steps to the client?
- A. Breathe in normally through your nose for 2 counts (while counting to yourself, one, two).
- B. Relax your neck and shoulder muscles.
- C. Pucker your lips as if you were going to whistle.
- D. Breathe out slowly through pursed lips for 4 counts (while counting to yourself, one, two, three, four).
Correct Answer: B,A,C,D
Rationale: The correct order for pursed-lip breathing is: relax muscles (B), inhale through nose for 2 counts (A), pucker lips (C), exhale through pursed lips for 4 counts (D). This prolongs exhalation, reducing air trapping.
Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
- A. Daily aerobic exercise.
- B. Eliminating smoking and alcohol use.
- C. Balancing activity and rest.
- D. Avoiding high-stress situations.
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.
The nurse teaches the client with an ileal conduit measures to prevent a urinary loss. Which of the following measures would be most effective?
- A. Avoid people with respiratory tract infections.
- B. Maintain a daily fluid intake of 2,000 to 3,000 mL.
- C. Use sterile technique to change the appliance.
- D. Irrigate the stoma daily.
Correct Answer: B
Rationale: Maintaining high fluid intake (2,000-3,000 mL) prevents urinary stasis and infection, the most effective measure for reducing urinary loss risk.