17. How can chronic otitis media affect the speech and language development of a child? 18. Describe the components of a comprehensive speech and language assessment.
19. Why is it problematic to rely solely on standardized assessment results to diagnose
speech and language disorders, especially in bilingual and multicultural populations?
20. What does it mean to be stimulable for a particular phoneme?

Mr. will, a 67-year-old patient, is postoperative day 2 after a coronary artery bypass graft operation to revascularize his coronary arteries that were significantly blocked. he has a midline incision of his chest and a 7-inch incision on the inner aspect of his right thigh where a saphenous vein graft was harvested and used to vascularize the blocked coronary artery. the surgeon ordered oxycodone 5 mg every 4 hours prn for moderate pain and oxycodone 10 mg every 4 hours prn for severe pain. a. considering the patient's age, what medication administration considerations should the nurse incorporate into the pain management plan and why? b. what measures should the nurse provide the patient to prevent adverse effects of analgesic agents from occurring? c. what nonpharmacologic pain management methods should the nurse teach to mr. will to assist with pain management?