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. At 12 weeks of gestation, the fetal heart tones can typically be heard using a Doppler ultrasound device placed above the symphysis pubis.
B. A side-lying position is not required for assessing fetal heart tones at this gestational age.
C. Fundal height is more useful in later stages of pregnancy, and it is not necessary to measure it for assessing fetal heart tones at 12 weeks.
D. Leopold maneuvers are used to determine the position of the fetus, but they are not typically performed before assessing fetal heart tones.

A. "Use an incentive spirometer every 4 hours." B. "Remain on bed rest for 24 hours following the procedure." C. "Participate in range-of-motion exercises." D. "Place a pillow under your knees while in bed."

Correct Answer is C

Explanation

A. The incentive spirometer should be used more frequently (every 1-2 hours) to promote lung expansion and reduce the risk of pneumonia.
B. Bed rest should be minimized to promote circulation and reduce the risk of deep vein thrombosis (DVT).
C. Range-of-motion exercises improve circulation, prevent joint stiffness, and promote overall mobility.
D. Placing a pillow under the knees can interfere with circulation and promote flexion contractures.

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Correct Answer is A

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Correct Answer is C

Explanation

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