A nurse is implementing nursing care measures for patients' special communication needs. Which patient will need the most nursing care measures?
a. The patient who is oriented, pain free, and blind
b. The patient who is alert, hungry, and has strong self-esteem
c. The patient who is cooperative, depressed, and hard of hearing
d. The patient who is dyspneic, anxious, and has a tracheostomy
ANS: D
Facial trauma, laryngeal cancer, or endotracheal intubation often prevents movement of air past vocal cords or mobility of the tongue, resulting in inability to articulate words. An extremely breathless person needs to use oxygen to breathe rather than speak. Persons with high anxiety are sometimes unable to perceive environmental stimuli or hear explanations. People who are alert, have strong self-esteem, and are cooperative and pain free do not cause communication concerns. Although hunger, blindness, and difficulty hearing can cause communication concerns, dyspnea, tracheostomy, and anxiety all contribute to communication concerns.
You might also like to view...
Status epilepticus
A) may be treated with intravenous diazepam (Valium). B) is defined as two or more unprovoked seizures. C) develops in the late stages of Alzheimer's disease. D) may be mistaken for daydreaming.
The patient confides that her husband shares only the incidental happenings of his day at work as he reads the paper, but he never tells her that he loves her any more. She is begin-ning to wonder if their marriage is getting stale
The nurse recognizes this communication pattern as: 1. affective. 2. affectional. 3. functional. 4. dysfunctional.
A hospital refuses to allow a visitor with a guide dog to enter the hospital. This violates the
a. Constitution c. Civil Liberties Act b. Good Samaritan Act d. Americans with Dis-abilities Act
The client is receiving oral anticoagulant therapy with warfarin (Coumadin). The result of a newly drawn prothrombin time (PT) is 40 seconds. The nurse anticipates carrying out a prescription to do which of the following?
1. Hold the next dose of warfarin. 2. Increase the next dose of warfarin. 3. Administer the next dose of warfarin. 4. Stop the warfarin, and administer heparin.