a nurse is caring for a client who has global aphasia both receptive and expressive which of the following should the nurse not include in the clients

ATI RN

ATI Fundamentals

1. A client has global aphasia affecting both receptive and expressive language abilities. Which intervention should NOT be included in the client's care plan?

A. Speak to the client at a slower rate.
B. Assist the client in using flash cards with pictures.
C. Speak to the client in a loud voice.
D. Give instructions one step at a time.

Correct answer: C

Rationale: Individuals with global aphasia have difficulty understanding and expressing language. Speaking loudly may not improve comprehension and can be perceived as aggressive. Therefore, it is important not to speak loudly to a client with global aphasia. Speaking at a slower rate, using visual aids like flash cards, and breaking down instructions into simple steps can facilitate communication and understanding for the client.

2. Which of the following vascular system changes result from aging?

A. Increased peripheral resistance of the blood vessels
B. Decreased blood flow
C. Increased workload of the left ventricle
D. All of the above

Correct answer: D

Rationale: As individuals age, various changes occur in the vascular system. These changes include increased peripheral resistance of the blood vessels, decreased blood flow, and an increased workload of the left ventricle. Therefore, all the listed changes result from aging, making option D, 'All of the above,' the correct answer.

3. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?

A. 4,500/mm³
B. 7,000/mm³
C. 10,000/mm³
D. 25,000/mm³

Correct answer: D

Rationale: Leukocytosis is defined as an increase in the total white blood cell count. A normal WBC count typically ranges from 4,500 to 10,000/mm³. A WBC count of 25,000/mm³, as indicated in choice D, is significantly higher than the normal range and clearly indicates leukocytosis.

4. Which of the following conditions may necessitate fluid restriction?

A. Fever
B. Chronic Obstructive Pulmonary Disease
C. Renal Failure
D. Dehydration

Correct answer: C

Rationale: Renal failure often necessitates fluid restriction to prevent fluid overload. In renal failure, the kidneys are unable to effectively filter and excrete excess fluids, leading to fluid accumulation in the body. Restricting fluid intake helps manage this condition by preventing further fluid buildup and complications such as edema and electrolyte imbalances.

5. What is the transparent membrane that focuses the light entering the eyes onto the retina?

A. Lens
B. Sclera
C. Cornea
D. Pupils

Correct answer: A

Rationale: The correct answer is the lens. The lens is a transparent structure in the eye that helps to focus light onto the retina, which is essential for clear vision. The cornea and sclera are also important parts of the eye, but the lens specifically plays a crucial role in focusing light onto the retina. The sclera is the white outer layer of the eye that helps maintain the shape of the eye, while the cornea is the clear outer covering of the eye that helps to refract light into the eye.