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 A

Explanation

A. The primary concern after an overdose of valsartan is hypotension, as it can cause significant blood pressure lowering.
B. Monitoring urine output is important but not the priority immediately after an overdose.
C. Laboratory results are useful but not critical in this immediate situation.
D. Nasal congestion is a possible side effect of valsartan but is not as urgent as monitoring for hypotension.

A. Maintain eye contact with the newborn during feedings. B. Minimize noise in the newborn's environment. C. Swaddle the newborn with his legs extended. D. Administer naloxone to the newborn.

Correct Answer is B

Explanation

A. Maintaining eye contact may be overstimulating for the newborn and could contribute to further irritability.
B. Minimizing noise and environmental stimuli helps reduce the stress the newborn is experiencing and promotes a calmer environment.
C. Swaddling the newborn with legs extended may cause discomfort, as newborns with NAS often prefer a flexed position.
D. Naloxone is not routinely administered for NAS unless the newborn is experiencing life-threatening withdrawal symptoms.

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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?

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