Nokea
For the patient who has expressive aphasia following a cerebrovascular accident, the most therapeutic nursing intervention would be to
- A. keep verbal nurse-patient interchanges to a minimum
- B. talk to the patient as if he understands
- C. avoid using objects or gestures to communicate
- D. keep the sound of a radio or television audible in the background
Correct Answer: B
Rationale: Talking normally helps maintain cognitive engagement.
You may also like to solve these questions
What best describes the manifestations of OA?
- A. Smaller joints are typically affected first.
- B. There is joint stiffness after periods of inactivity.
- C. Joint stiffness is accompanied by fatigue, anorexia, and weight loss.
- D. Pain and immobility may be aggravated by falling barometric pressure.
Correct Answer: B
Rationale: OA stiffness occurs after inactivity.
A young male client visits a nurse with a complaint of chronic tension headaches. Which of the following is the most appropriate nursing instruction to manage the client?
- A. Instructing the client to monitor for signs of bruising or bleeding
- B. Suggesting eating and swallowing techniques that reduce the potential for aspiration
- C. Counseling on alternate therapies
- D. Advising the client to change sleeping positions frequently
Correct Answer: C
Rationale: Alternate therapies, such as relaxation techniques, can help manage tension headaches.
Mrs. Rollo has been instructed to check her urine with a multiple test stick. For which abnormal finding should she be particularly alert and report to you when the test is positive?
- A. Glucose
- B. pH of 5
- C. Protein
- D. Ketones
Correct Answer: C
Rationale: Proteinuria can indicate kidney damage, a potential side effect of gold therapy.
If an individual suffers a traumatic event and has a neurological disorder that means they may be unable to recall anything from the moment of the injury or to retain memories of recent events. This is known as:
- A. anterograde amnesia
- B. retrograde amnesia
- C. postevent amnesia
- D. antenatal amnesia
Correct Answer: A
Rationale: Anterograde amnesia refers to the inability to form new memories after the onset of amnesia, often due to brain injury or trauma. This condition severely impacts an individual's ability to retain information about recent events, while memories from before the injury may remain intact. It is commonly associated with damage to the hippocampus, a brain region critical for memory formation and consolidation.
A husband visiting his wife in the hospital suddenly becomes confused and has difficulty with speech and starts slurring his words. The physician caring for his wife recognizes this as a cerebrovascular accident. What would you expect the physician to do?
- A. Administer TPA since this is within 3 hours of the CVS.
- B. Assess if the husband had an ischemic or hemorrhagic CVS.
- C. Tell the husband to go home, get rest, and to call the physician in the morning if the symptoms continue.
- D. Admit the husband and place him on bed rest.
Correct Answer: B
Rationale: It's critical to determine the type of stroke (ischemic or hemorrhagic) before treatment.