The Daughters of an 80-Year-Old Man Who Is Aphasic After

question 21

Multiple Choice

The daughters of an 80-year-old man who is aphasic after suffering a cerebrovascular accident express concern that their father is "always exposing and playing with himself and his catheter" while they are in the room.Upon assessment,the nurse finds the client pulling on and rubbing his penis.What is the nurse's priority action?

• A)Tell the client to keep his hands away from his penis
• B)Assess the client's penis for irritation from the catheter
• C)Ask the client to keep his linens at waist level when he has visitors
• D)Collaborate with the physician regarding medications to control this behaviour

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Definitions:

Absolute Threshold

The minimum level of stimulus intensity needed for a stimulus to be detected.

Pain Receptors

Sensory nerve endings that respond to harmful stimuli and send pain signals to the brain.

Pain Perception

The subjective interpretation and experience of pain, which can vary greatly among individuals.

Bottom-Up

An approach or process that begins with the smallest or simplest elements and integrates them into larger and more complex systems or understandings.