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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. A butterfly needle is not typically used for accessing implanted ports.
B. An angiocatheter is not typically used for accessing implanted ports.
C. A 25-gauge needle might be too small for accessing an implanted port.
D. Correct. A noncoring needle (Huber needle) is specifically designed for accessing implanted venous access ports to minimize damage to the port septum and prevent leakage.
Correct Answer is C
Explanation
A. Waiting for 2 minutes between suctions is a standard practice to prevent damage to the trachea and to allow the client to recover from the suctioning process. This action is also appropriate and does not require intervention.
B. Suction is typically applied for 10-15 seconds while withdrawing the catheter to prevent hypoxia and trauma to the airway.
C. Encouraging a client to cough during suctioning is generally acceptable because coughing helps expel secretions from the airway.However, the nurse should ensure that the client does not cough too forcefully, as this could lead to trauma or discomfort.
D. The catheter should be attached to suction while being inserted and withdrawn to effectively clear secretions from the airway.
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