What is the best way for the nurse to communicate with a client who is intubated and is receiving mechanical ventilation?
a. Ask the client to point to words on a board.
b. Ask the client to blink for "yes" and "no."
c. Have the client mouth words slowly.
d. Teach the client some simple sign lan-guage.
A
The nurse should have the client point to words on a board to communicate needs. The endotra-cheal tube is positioned and placement is maintained with tape or some other type of appliance. Asking the client to move his or her mouth and lips could result in possible extubation. Commu-nication is limited and could be misunderstood with blinking. Teaching the client sign language, even simple, would be an involved and unrealistic goal.
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