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."
The Correct Answer is A
A. Correct. Offering information about respite care provides the son with an option to take a break and get some rest while ensuring his mother's care is still managed by professionals.
B. Incorrect. While supportive, this statement does not offer a solution to the son's sleep deprivation.
C. Incorrect. Suggesting a sleeping pill might not address the underlying issue of the son's caregiving responsibilities.
D. Incorrect. While empathetic, this statement does not offer a practical solution or support for the son's situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Measuring gastric residual volumes every 4 hours is important to assess gastric emptying and to determine if the client can tolerate the feedings. If residuals are high, it may indicate delayed gastric emptying and the need to adjust the feeding rate.
B. Incorrect. While flushing the NG tube before and after medications is important to maintain patency, it is typically done with sterile water, not sodium chloride, unless otherwise specified by a protocol. Therefore, this statement may not be fully accurate.
C. Incorrect. The head of the bed should be elevated to a 30-45° angle to help prevent aspiration during enteral feedings.
D. Incorrect. The rate of the feeding should be advanced gradually to prevent overloading the client's gastrointestinal tract. This does not involve advancing the rate every 2 hours.
Correct Answer is B
Explanation
A. Alcohol-based mouthwashes can exacerbate dry mouth (xerostomia) and should be avoided.
B. Correct. Providing humidification of the room air can help alleviate the symptoms of xerostomia.
C. Saltine crackers may not significantly help with xerostomia.
D. Esophageal speech is unrelated to xerostomia.
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