शैडोइंग अभ्यास: Live NCLEX® Respiratory Question Drill - Vertical - वीडियो के साथ अंग्रेजी बोलना सीखें

Thank you.

Hello and good morning future nurses.

Welcome back to UWorld's Next Gen NCLEX review.

I'm Nurse Jasmine and today's topic is respiratory question drill.

So if you haven't joined us before this is what you can expect.

We're going to read the question together

and then you'll have 30 seconds to drop your answers in the comments

and don't be shy this is the best time to practice.

Remember this is just for your own learning this is not for a grade or punishment or anything.

And then we're going to review the rationales and then reminders.

Just share this session.

You know, the more the merrier.

Share it with all your nursing buddies.

Again, don't be shy to leave your comments or questions in the chat.

We have Nurse and Coley moderating our chat.

So if you have any questions, don't feel, don't be hesitant to ask.

And then again, follow us so you don't miss any content.

So starting with our question one, the nurse is assessing a client who has bacterial pneumonia,

which of the following findings would be a priority to follow up.

Then we have headache and fever, sore throat and nasal congestion, use of accessory muscles, and then we have purulent futum.

So what is concerning here?

What pushes you to check on this patient?

And then I see also we have our chat going on.

Again, don't be shy, don't be scared to put your answers.

You know, this is where we learn.

Sometimes we learn more from our mistakes.

Again, this is going to be a respiratory question drill.

Don't forget to like, share.

We have a goal on TikTok to reach 150,000 followers, and we're pretty close.

So if you guys don't mind helping us reach that goal, and let me know where everybody is joining us from.

Let us know.

Today we have a sunny day.

It's been raining here in Dallas, but today is hot.

All right.

So the correct answer for this one is going to be option number three, which a lot of you guys put.

So great job.

The use of accessory muscles is going to be a priority to follow up.

So bacterial pneumonia is an inflammatory reaction in the lungs.

So it's usually caused by an infection.

So this is going to result in the production of cellular debris and purulent secretions.

It also obstructs the alveoli and impairs gas exchange.

So when we see the use of accessory muscles, this means that the client is breathing with more than just their diaphragm.

So it's going to alert us that the client needs oxygen and we're going to focus on airway, breathing, and circulations.

And then we have the other options, one, two, and four.

These are all expected findings with bacterial pneumonia.

The one that we're going to be concerned about is the use of accessory muscles, which tells us that the client is working harder to breathe.

So we're going to assess this client first.

Great job.

All right, question number two.

The nurse is planning care for a client with chronic obstructive pulmonary disease or COPD.

Which of the following interventions should the nurse include in the client's plan of care?

And here we have a select all that apply.

So remember, we're going to have multiple correct answers.

And then we have option one, recommend that the client sleep in the supine position.

Option two, tell the client to eat two to three large meals each day.

Option three, encourage the client to receive the influenza vaccine annually.

Option four, demonstrate the cuff technique for the client.

And then we have option five, instruct the client to limit physical activity.

Let me know.

Let me see where you guys are all joining us from.

We got Portland, Oregon.

We got Maryland.

We got Pittsburgh.

We got Germany and India.

Hello.

We got Turkey, Nigeria, Manchester, Ghana.

How exciting.

We have Kansas City.

How crazy.

How cool, guys.

Thank you for joining us this morning.

And then another question that I'd like to ask you guys, has anybody passed their NCLEX recently or is anybody getting ready to test?

This is where we want to send you all the good luck or celebrate with you.

All right, we got more peeps.

We got South Africa, we got Mexico, we got Seattle, Australia, Arizona, DC.

Hello, hello, welcome.

Emily on TikTok has a year left, but it's going to be amazing, you know, take advantage of this year.

This is your last chance to be a student then you'll

enter the nursing world we have kenya virginia oh my gosh we got a two days

and then clicks in two days so we're gonna send prayers for sure someone's testing on the 23rd

nice oh we got people from republica dominicana welcome welcome 86

and yes you're going to pass

so we're sending you all the good vibes okay good job guys

so the correct answers for this ones are going to be three and four.

So we have the interventions that we should include in the client's plan of care.

So to start, what is COPD, right?

This is going to be a progressive and irreversible lower respiratory condition characterized by chronic inflammation.

We have airway remodeling, and then we also have reduced expiratory airflow.

So option three, we want to encourage the client to receive their flu vaccine because they're going to be immunocompromised, right?

They're at risk for significant complications.

If they do get the disease, if they contact the virus, they're going to be at higher risk for complications.

So we're going to encourage them to receive their vaccine annually.

And then option four, demonstrate the cough cough.

This is also true.

So clients with COPD, they develop ineffective coughing patterns due to that weakened muscles or their airway remodeling.

Remember, the airway is changing.

And this is prone to collapse under pressure.

So to help this, we're going to teach our clients how to huff-cuff through clear secutions.

100

So huff-cuff is composed of low-pressure coughs to loosen and help clear out those secretions.

101

So to do this, the client should sit upright, inhale deeply, and perform a forceful exhalation that makes a huff sound.

102

So that's going to help them clear their secretions.

103

And then the incorrect answers are 1, 2, and 5.

104

So instead of a supine position, we're going to recommend a semi-fowler position to help test expansion.

105

And the client will breathe easier rather than laying on their belly, which is the supine position.

106

And then we have option 2, large meals take a lot of energy.

107

You know, if you're short of breath and you're trying to eat a large meal, that's hard.

108

So imagine a client with COPD.

109

It's the same thing, you know.

110

So we're going to recommend smaller protein or smaller meals or increased protein snacks.

111

We want them to still take care of their nutrition.

112

We don't want their shortness of breath to interfere with their condition, with their nutrition.

113

And then we have option five, instruct the client to limit physical activity.

114

This is incorrect.

115

We want them to move to prevent pneumonia infection.

116

So great job, guys, on that one.

117

And then we have question number three the nurse has attended a staff education program about cystic fibrosis.

118

Which are the following should the nurse recognize as a complication of cystic fibrosis?

119

And again, select all that apply.

120

So we have one, malnutrition, osteoporosis, uterine fibroids, diabetes mellitus, and portal hypertension.

121

So which of these are complications?

122

let's see okay looking at your comments someone's about to schedule that's exciting

123

and we have more peeps joining us we have miami miami brazil canada nice welcome guys welcome

124

okay and i like that you guys are dropping your answers great job okay so the correct answers

125

i'm going to give you just a couple more to select select

126

that apply uh in the meantime i'm going to tell you guys

127

so you can find at uworldnursing.com

128

so you can see our live schedule we go live several

129

times a week uh tuesdays wednesdays thursdays fridays we have nurse Andrew, Nurse Nkoly, Nurse Samantha, myself.

130

So if you guys want to prepare and see what topics we're talking about ahead of time, go ahead and check out UWorldNursing.com.

131

And then my favorite part about UWorldNursing.com is the free trial so you can try 50 questions with rationales, which is what makes UWorld special.

132

And we have a NCLEX study schedule.

133

So we have examples from like one month to six months.

134

So if you guys are completely like, oh my gosh, where do I start?

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Go ahead and visit UWorldNursing.com.

136

All right, guys, so this one is going to be all of them except option three.

137

So these are complications of cystic fibrosis.

138

So what is cystic fibrosis?

139

This is a genetic condition that causes thickening of the mucoid secretions, and this is due to impaired chloride and sodium channel regulation.

140

So this leads to exocrine gland dysfunction, obstruction of the digestive, reproductive,

141

and respiratory tracts, which can give us a lot of the information that we need for the complications.

142

So complications are going to include malnutrition due to malabsorption of nutrients in the GI tract.

143

So that's our option one.

144

Option two, osteoporosis.

145

This is a complication related to the malabsorption in clients with cystic fibrosis.

146

Think about the vitamins A, D, E, and K, inflammation and infection, medications, reduced physical activity.

147

So this is also a complication.

148

And then we have option four, diabetes mellitus, which is also a complication.

149

Pancreatic injury from the thick mucus secretions can lead to insufficient insulin production.

150

So that's another one.

151

And then we have option five, portal hypertension.

152

So it can lead to liver disease.

153

Cystic fibrosis can lead to liver disease or cirrhosis, which is the hardening of the liver.

154

So that hardening is going to cause pressure to increase in that portal vein, which can cause portal hypertension.

155

So the only incorrect one is uterine fibroids.

156

So specific fibrosis can cause infertility due to those thick cervical mucus and nutrition deficiencies.

157

So that's infertility, not uterine fibroids.

158

So great job on that one, everybody.

159

That was a little bit of a long one.

160

Our next question, the nurse is checking a client who has a chest tube attached to a closed chest drainage system.

161

Which of the following findings would be a priority for the nurse to follow up?

162

And then we have our options.

163

One, serosanguinous drainage in the collection chamber.

164

Option two, crepitus around the insertion site.

165

Tiling in the water seal chamber.

166

And then we have collection chamber attached to the head of the client's bed.

167

Let me see.

168

Let me look at your answers, guys.

169

Someone's scheduling their test later today.

170

That's exciting.

171

Yep, you guys answered.

172

Sisyphagbrosid affects the sodium chloride pump.

173

Great job.

174

Yeah, good job, good job.

175

You passed the NCLEX on Instagram.

176

Good job.

177

Congratulations.

178

You guys, your comments come so fast.

179

I got to read faster.

180

And yes, we have NCOLI on our chat.

181

Expected versus complication.

182

Yes, great job.

183

Thank you.

184

All right, so the answer for this one is going to be option four.

185

It's going to be a priority for us to follow up

186

if we see the collection chamber attached to the head of the bed.

187

So the chest tube, this is a closed system,

188

and it can be used to generate the negative pressure to re-expand a collapsed lung or it also helps drain pleural fluid.

189

So we do not want the collection chamber above the lungs because we need it to drain dependent drainage.

190

We want to use gravity in our favor to help drain the contents into the collection chamber.

191

So the other answers are incorrect.

192

This option one is an expected finding.

193

We're going to assess for the color, the amount and consistency, but a zero sanguinous drainage is expected.

194

And then we have option two, crepitus.

195

The crepitus can be expected around the site and only a little bit.

196

However, we do want to keep a close eye if the crepitus is increasing, if the area is larger, or if extending to the neck.

197

So we're going to immediately assess that one.

198

And then we have option three, titling and the wider seal.

199

This means it's working correctly.

200

That is exactly what we want to see.

201

So great job on that one.

202

That one can be a little tricky if you don't know much about the chest tubes, but you guys did amazing on that one.

203

All right.

204

And I'm going to take this moment just to pause.

205

If we have any retakers in our chat today, you know, we know that retaking the NCLEX and all the study materials can be expensive.

206

So we want to offer you guys this $20 off the review.

207

So if you guys want to upload your CPR or your candidate's performance report, and then you're going to get an email with the offer.

208

Or I know they changed our social media, so you should also be able to click on the link if it pops up.

209

Or you can also find it at uworldnursing.com.

210

So there's several options to find this code.

211

So you guys don't forget to take advantage of this.

212

And this is for retakers only.

213

All right.

214

Next question.

215

And the nurse is assessing a client who is experiencing an acute exacerbation of asthma.

216

Which of the following findings would require immediate follow-up?

217

We have option one, abrupt discontinuation of wheezing.

218

Option two, use of accessory muscles.

219

Option three, non-productive cuffs.

220

And we have option four, difficulty speaking.

221

So here we have an acute exacerbation of asthma.

222

And also let us know how you guys like to study, if there's any specific topics you guys need extra help in

223

in your free time go feel free to explore our all

224

our channels we do post all our old videos we have

225

some great videos on heart failure abgs chronic kidney disease we just did a video yesterday

226

so if you guys have time go ahead

227

and check out those lectures the lectures are my favorite

228

because you learn a lot and even

229

if you already know it's just a nice review you know all right

230

so this one is going to be option one An abrupt discontinuation of wheezing is our immediate follow-up.

231

This is silent chest and it's life-threatening.

232

So it typically requires mechanical ventilation or being in a ventilator.

233

So this is our immediate follow-up.

234

Wheezing is caused by air movement through the narrow airway, and that's what's happening in asthma and acute exacerbation of asthma.

235

So this is a common finding in clients due to the bronchoconstriction, wheezing.

236

However, a sudden decrease in wheezing indicates the lack of airflow.

237

So also the silent chest.

238

So this is an ominous sign that requires emergency interventions to prevent respiratory failure.

239

So anytime we see this, that's going to alert you.

240

Wait a minute.

241

That's not expected.

242

And then the options two to four, these are expected findings.

243

We have used accessory muscles.

244

They are having an acute exacerbation of asthma.

245

So they are going to be breathing harder.

246

We do have a nonproductive cuff and difficulty speaking.

247

So those are expected except the abrupt discontinuation of wheezing.

248

So good job.

249

All right, next question.

250

The nurse is observing a staff member caring for a client with chronic obstructive pulmonary disease or COPD.

251

The nurse should intervene if the staff member is observed.

252

And then we have our options.

253

Option one, demonstrating per slip breathing for the client, providing the client with information about smoking cessation.

254

Option three, administering albuterol to the client before meals.

255

And option four, hyperoxygenating the client before assisting the client to ambulate?

256

Looking at your answers.

257

We're almost there.

258

We got two more questions to go.

259

Silent lungs, danger.

260

Yes.

261

If you're going to remember anything, remember that.

262

Silent lungs, danger.

263

We don't like that.

264

That was for our old question.

265

All right, guys.

266

Great job.

267

Great job.

268

And we did talk a little bit about COPD earlier.

269

So these answers should relate to that.

270

Okay, okay.

271

I like the rationale, Steph Marie on TikTok.

272

Thank you.

273

All right, guys.

274

Okay, so the correct answer for this one is going to be option four.

275

So like I said, we did talk a little bit about COPD.

276

But just to remind you guys, this is a progressive, irreversible, lower respiratory condition that's characterized by chronic inflammation,

277

airway remodeling, and reduced expiratory airflow.

278

So the long-term carbon dioxide retention, it actually decreases the body's sensitivity to elevated carbon dioxide levels.

279

So these clients are getting accustomed to their new normal.

280

So they're going to rely more heavily on decreased oxygen levels to help them stimulate breathing, right?

281

We still need to breathe.

282

So too much oxygen can reduce this stimulus.

283

So it slows respiration and can worsen carbon dioxide retention.

284

So we're not going to hyper oxygenate our client with COPD because this takes away their stimulus to breathe.

285

So and I saw you guys put that in the rationale.

286

So great job.

287

And then we have options one, two and three.

288

These are appropriate for the client with COPD.

289

The first lip breathing is appropriate.

290

It prolongs exhalation.

291

It prevents premature airway collapse and it helps improve airway exchange.

292

Oxygen two, yes, smoking cessation is very important for clients with COPD.

293

And option three, we talked about, you know, client with that short of breath trying to eat a large meal.

294

So if we can help them, we would administer an albuterol before the meal so that we can, so the client can eat more comfortably and eat more.

295

Great job.

296

All right, guys, we're almost there.

297

We have the nurse's caring for a client who has a chest tube attached.

298

We have another chest tube to a closed chest drainage system.

299

Which of the following actions should the nurse take?

300

And here we have a select all that apply.

301

Option one, avoid stripping or milking the client's chest tube option two climb the chest tube while the client is ambulating

302

option three withhold analgesics to prevent respiratory depression option four monitor the insertion site for subcutaneous emphysema

303

and then we have option five instruct the client to avoid coughing

304

and deep breathing let me know what you guys think we're

305

so happy to have you guys here you guys have been doing amazing today within especially with rationale

306

so everybody gets bonus points everybody here gets bonus points and that is your price for wednesday wednesday morning

307

great job and remember we're going to have multiple correct answers for this one guys

308

all right somebody is done with nclix used your world question structure is exactly the same as nclix

309

so great job congratulations thank you for using us thank you for trusting us Nice.

310

All right, guys.

311

So the correct answers for this one are one in four, which I saw a lot in our comments.

312

So we did talk a little bit about chest tubes.

313

Just to remind you guys again, a chest tube is a closed chest system, closed chest drainage system.

314

So it's used to generate negative pressure to help re-expand a collapsed lung

315

or to help us drain a fluid in that pleural space.

316

So option one is correct.

317

We do not want to strip the tubing because it could dislodge or we can injure the lungs.

318

So we're not going to do that.

319

And then option four, we have monitor the insertion sites.

320

Yes, which of the following should the nurse take?

321

So yes, we are going to monitor the insertion site for subcutaneous emphysema.

322

This is part of our assessment, guys.

323

We're going to assess the client, their breathing, the output on the chest tube, what everything looks like and it's part of the focus assessment like I said.

324

So if we see any subcutaneous emphysema,

325

this can indicate that the tube is dislodged or that air is leaking into that subcutaneous tissue and this needs follow-up.

326

The other options are incorrect.

327

We do not clamp the chest tube.

328

We never clamp.

329

This can cause a pneumothorax or a collapsed lung.

330

So option two, no, we're not going to do that.

331

And then option three, chest tubes are very painful.

332

Just imagine having a chest tube literally inserted in your skin.

333

So we're not going to withhold analgesics.

334

We're going to work with our clients to help them be comfortable with the chest tube

335

because they can stay there for a couple of days.

336

And then we have option five, instruct the client to avoid coughing and deep breathing.

337

So this is not something we're going to instruct them.

338

Instead, we want them to cough and we want them to take deep breaths

339

so we can help move those secretions and they can breathe easier.

340

Great job.

341

Alrighty, and this is our last question for today.

342

The nurse is caring for a client who is experiencing an acute exacerbation of asthma.

343

The nurse should prepare to administer.

344

We have albuterol, salmitrol, oh my gosh, lutecasone, and montelicast.

345

I feel like I just said a spell.

346

But you guys got this.

347

So we have here acute exacerbation of asthma.

348

What do we think?

349

Okay, good job, guys.

350

And then how many have you guys gotten correct so far?

351

I also want to take this moment to tell you guys about our partnership with NSNA or the National Student Nurses Association.

352

With this partnership, we're hosting virtual webinars throughout the year and the upcoming ones are coming up in the fall.

353

So for more information, you can go to our social media, UWorld Nursing, or you can also check out NSNA's social media so you can sign up for our webinars.

354

All righty, guys.

355

This is our last question.

356

And as most of you, yeah, pretty much all of you guys got this one right.

357

We got option one.

358

So during an asthma attack, we need a fast-acting medication.

359

So that's going to be olibutyl.

360

It's a nebulized short-acting beta-2 agonist.

361

And this is going to open the airway and improve hypoxia.

362

The other options are incorrect.

363

Option two is used to prevent asthma attacks.

364

So it's not used for acute exacerbations.

365

Emphasis on acute.

366

I saw a couple say it was too easy.

367

It could be, but imagine if you're reading it too fast and you answer it incorrectly.

368

That's where we need to take our time.

369

And then we have option three, flotacosone.

370

So this inhaled systemic corticosteroids.

371

So these are going to help for long term to help that underlying inflammation.

372

They take some time to actually work, so they're not going to be used for an acute exacerbation.

373

And then lastly, we have that Montelicast.

374

So this is a leukotriene inhibitor combined with a short-acting and corticosteroid inhaler like budesonide.

375

It can help provide long-term asthma control.

376

However, it's not used for an acute exacerbation.

377

So great job, you guys.

378

That was our last question.

379

Again, don't forget to visit youworldnursing.com.

380

That is where we have all our good links, all the goodies that you can sign up for.

381

Don't forget to like, share and subscribe.

382

Help us reach that goal.

383

And I'll always leave you with this message.

384

You have what it takes to be a safe and compassionate nurse.

385

And great job.

386

Thank you for watching.

387

Thank you.

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इस पाठ की शब्दावली और बोलने के सुझाव

यह C1 स्तर का स्पीकिंग पाठ वीडियो “Live NCLEX® Respiratory Question Drill - Vertical” पर आधारित है। सबसे ज़्यादा दोहराए गए शब्द ये हैं: option, client, nurse, chest, answer। इस वीडियो में शैडोइंग के लिए 387 वाक्य और 3964 शब्द हैं। बोला गया हिस्सा 24:10 लंबा है। वक्ता लगभग 164 शब्द प्रति मिनट की स्वाभाविक गति से बोलता है, जो रोज़मर्रा की बातचीत के करीब है। केवल 79% शब्द अंग्रेज़ी के 3,000 सबसे आम शब्दों में से हैं, इसलिए शब्दावली कठिन है।

इस वीडियो की मुख्य शब्दावली

वीडियो के 15 सबसे कठिन शब्द, उच्चारण और अर्थ के साथ:

शब्द	उच्चारण	अर्थ
asthma संज्ञा	/ˈæzmə/	दमा
secretion संज्ञा	/sɪˈkriːʃ(ə)n/	स्राव
incorrect विशेषण	/ˌɪn.kəˈɹɛkt/	त्रुटिपूर्ण
cough क्रिया	/kɔf/	खाँसना
assess क्रिया	/əˈsɛs/	मूल्यांकन करना
inflammation संज्ञा	/ɪnfləˈmeɪ̯ʃən/	जलन
pneumonia संज्ञा	/njuˈməʊniə/	न्यूमोनिया
portal संज्ञा	/ˈpɔːɹtl̩/	प्रवेशमार्ग
drain संज्ञा	/dɹiːn/	नाली, नाला
discontinuation संज्ञा		विरति
huff क्रिया	/hʌf/	हाँफना
bacterial विशेषण	[bækˈtɪəɹiəɫ]	जीवाण्विक
vaccine संज्ञा	/vækˈsin/	वैक्सीन, टीका
analgesic संज्ञा	/ˌæn.l̩ˈd͡ʒiː.zɪk/	दर्द निवारक du or n du
cessation संज्ञा	/sɛˈseɪʃən/	विरति

वीडियो में आने वाली फ़्रेज़ल वर्ब

शब्द	उच्चारण	अर्थ
go ahead क्रिया	/ˌɡoʊ əˈhɛd/	आगे बढ़ना

दोहराने लायक वाक्य

वीडियो के छोटे, पूरे वाक्य जिन्हें आप रोज़ की बातचीत में इस्तेमाल कर सकते हैं:

What pushes you to check on this patient?
If you're going to remember anything, remember that.
All right, guys, we're almost there.
What do we think?
That's where we need to take our time.

इस वीडियो का व्याकरण

वक्ता जिन संरचनाओं का सबसे अधिक प्रयोग करता है, वीडियो के असली शब्दों के साथ:

संरचना	वीडियो में
Present perfect continuous have/has been + -ing — पहले शुरू हुआ काम जो अब भी जारी है	It's been raining · have been doing
Passive voice be + past participle — ज़ोर इस पर कि क्या होता है, न कि कौन करता है	be immunocompromised · is composed · is expected
Relative clauses who / which + उपवाक्य — व्यक्ति या वस्तु के बारे में अतिरिक्त जानकारी	belly, which is · rationales, which is · tracts, which can
Present perfect have/has + past participle — बीता हुआ काम जिसका असर अभी भी है	haven't joined · have reduced · has attended

ध्यान देने योग्य उच्चारण

वक्ता 64 बार संक्षिप्त रूपों का प्रयोग करता है, जैसे we're, don't, you're। इन्हें वैसे ही छोटा बोलें जैसा आप सुनते हैं।

“th” की ध्वनियाँ: withhold /wɪθˈhoʊld/, threaten /ˈθɹɛt.n̩/
“sh” और “zh” की ध्वनियाँ: complication /ˌkɑm.pləˈkeɪ.ʃən/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, secretion /sɪˈkriːʃ(ə)n/, rationale /ˌɹæʃ.əˈnæl/, insertion /ɪnˈsɝʃən/
लंबे शब्द — बलाघात सही रखें: complication /ˌkɑm.pləˈkeɪ.ʃən/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/, accessory /əkˈsɛs.(ə.)ɹi/, subcutaneous /sʌbkjuːˈteɪnɪəs/

हिंदी भाषियों के लिए मुश्किल ध्वनियाँ:

/v/ और /w/ का फ़र्क़ — /v/ में ऊपर के दाँत निचले होंठ को छूते हैं, /w/ में होंठ गोल होते हैं: airway /ˈɛɚ.weɪ/, vaccine /vækˈsin/, irreversible /ˌɪr.ɪˈvɝ.sə.bəl/, obstructive /əbˈstɹʌk.tɪv/, webinar /ˈwɛb.əˌnɑː/
/z/ — इसे “ज” (/dʒ/) न बनाएँ: asthma /ˈæzmə/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, wheeze /ʍiːz/, analgesic /ˌæn.l̩ˈd͡ʒiː.zɪk/, characterize /ˈkɛɹəktəɹaɪz/
/æ/ — “ऐ” से ज़्यादा खुला: asthma /ˈæzmə/, exacerbation /ɪɡˈzæsɚˌbeɪʃən/, rationale /ˌɹæʃ.əˈnæl/, albuterol /ælˈbju.təˌɹɔl/, bacterial [bækˈtɪəɹiəɫ]

इस वीडियो से अभ्यास कैसे करें

पहले बिना बोले पूरा वीडियो एक बार सुनें और जो शब्द नहीं आते उन्हें लिख लें।
0.75× गति से शुरू करें, एक-एक वाक्य की शैडोइंग करें, और सहज लगने पर सामान्य गति पर लौटें।
अपनी आवाज़ रिकॉर्ड करें और मूल से तुलना करें, ख़ासकर asthma, secretion, incorrect जैसे शब्दों पर ध्यान दें।

शैडोइंग तकनीक क्या है?

शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।

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इस पाठ की शब्दावली और बोलने के सुझाव

इस वीडियो की मुख्य शब्दावली

वीडियो में आने वाली फ़्रेज़ल वर्ब

दोहराने लायक वाक्य

इस वीडियो का व्याकरण

ध्यान देने योग्य उच्चारण

इस वीडियो से अभ्यास कैसे करें

शैडोइंग तकनीक क्या है?