A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

"I can give you information about respite care if you are interested."

"I am sure you're doing a great job taking care of your mother."

"You should consider taking a sleeping pill before bed each night."

"It is always difficult caring for someone who is terminally ill."

Answer and Explanation

The Correct Answer is A

A.   Offering information about respite care is a helpful and practical response. Respite care provides temporary relief for caregivers, allowing them to rest and recharge.
B.   While it's important to acknowledge the son's efforts, this statement doesn't address the need for rest or offer solutions.
C.   Suggesting sleeping pills without further assessment is not appropriate and may not address the root cause of the son's sleep deprivation.
D.   While caring for a terminally ill person is challenging, this statement does not offer the support or solution the son needs.

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Correct Answer is D

Explanation

A. Sodium phosphate is commonly used as a bowel prep before a colonoscopy, and there is no immediate concern in this situation unless the client is showing signs of dehydration or electrolyte imbalances.
B. A positive Mantoux test induration indicates exposure to tuberculosis, which should be further evaluated, but it is not immediately urgent.
C. An increase in urinary frequency while taking bumetanide (a diuretic) is expected and should be monitored, but it is not a cause for alarm unless accompanied by other signs of dehydration or electrolyte imbalance.
D. Warfarin and breastfeeding require careful monitoring, as warfarin can pass into breast milk and affect the infant. The nurse should follow up on this situation to ensure the safety of both the mother and infant.

A. Naproxen sodium B. Aspirin C. Acetaminophen D. Ibuprofen

Correct Answer is C

Explanation

A. Naproxen sodium and ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs), which increase the risk of bleeding when taken with enoxaparin.
B. Aspirin also increases the risk of bleeding and should be avoided with enoxaparin.
C. Acetaminophen is an analgesic and does not have anticoagulant properties, making it a safer option to use with enoxaparin for pain relief.
D. Ibuprofen is an NSAID, and like other NSAIDs, it increases the risk of bleeding and should be avoided.

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A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make?

Nursing Test Bank

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