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. This prescription is complete because it includes the medication name (Digoxin), the dosage (0.25 mg), the route (PO, meaning by mouth), and the frequency (daily). This is a fully clear and complete prescription.
B. This prescription is incomplete because it lacks the dosage for Cimetidine. The nurse cannot confirm the correct amount of the medication to administer without the dosage.
C. While the medication name, dosage (150 units/kg), and frequency (three times weekly) are included, the route is missing. Epoetin alfa can be given via different routes (subcutaneously or intravenously), so the route must be specified.
D. This prescription is incomplete because it lacks both the dosage form and the frequency. It states "200 mg PO," but it does not specify whether this is a one-time dose or if it is to be given daily, which makes it unclear.

A. "You don't have to go through with the treatment." B. "Your doctor wouldn't have ordered this treatment unless it was necessary." C. "It's okay to be nervous before this treatment." D. "Most people who have this procedure feel better following the treatment."

Correct Answer is A

Explanation

A. This statement is appropriate because it respects the client’s autonomy and acknowledges that the client has the right to withdraw consent at any time.
B. Telling the client their doctor wouldn't have ordered the treatment unless it was necessary can be dismissive of the client’s concerns and feelings.
C. While it’s important to acknowledge that nervousness or anxiety is a normal response, this statement does not directly address the client’s concern about not proceeding with the treatment.
D. Telling the client that most people feel better after the procedure may sound dismissive of the
client’s hesitation and doesn’t address their concerns directly.

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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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