A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?

A) "I don't take naps throughout the day": This statement indicates a good sleep habit, as avoiding daytime naps can help promote better sleep at night.
B) "I have a small snack and take a bath before going to bed each day": This statement suggests a bedtime routine, which can be beneficial for promoting relaxation and signaling the body that it's time to sleep.
C) "I go to bed and get up routinely at the same time each day": Consistency in sleep schedule is an essential aspect of healthy sleep habits, as it helps regulate the body's internal clock and promotes better sleep quality.
D) "I watch television until I fall asleep at night": This statement indicates a poor sleep habit. Screen time before bedtime, especially from devices like televisions, computers, or smartphones, can interfere with the body's natural sleep-wake cycle and make it harder to fall asleep. The blue light emitted by screens can suppress the production of melatonin, a hormone that regulates sleep, leading to difficulty falling asleep and poor sleep quality. Therefore, this statement suggests a need for further teaching about avoiding screen time before bedtime to promote better sleep hygiene.

A. A client who has stage IV breast cancer and is expected to live 3 months:
This client is eligible for hospice care because they have a terminal illness (stage IV breast cancer) with a prognosis of less than six months to live if the disease follows its typical course. Hospice care focuses on comfort and quality of life in the final months of life.

B. A client who has a diagnosis of COPD and requires supplemental oxygen:
This client is not automatically eligible for hospice care based solely on a COPD diagnosis and the need for supplemental oxygen. Eligibility for hospice would require a prognosis of six months or less to live if the disease follows its usual course. More specific criteria, such as frequent hospitalizations or a significant decline in functional status, would need to be met.

C. A client who has end-stage kidney disease and has stopped dialysis:
This client is eligible for hospice care because stopping dialysis typically indicates that the client has a limited life expectancy, usually measured in weeks to months. Hospice care can help manage symptoms and provide support for end-of-life care.

D. A client who has type 1 diabetes mellitus and is on an insulin pump:
This client is not eligible for hospice care based solely on the presence of type 1 diabetes mellitus and the use of an insulin pump. Hospice care eligibility is generally for clients with a terminal diagnosis and a life expectancy of six months or less if the disease follows its usual course.

E. A client who has terminal lung cancer and has discontinued all treatment:
This client is eligible for hospice care because they have a terminal illness (lung cancer) and have chosen to discontinue curative treatment. Hospice care focuses on palliative treatment to improve the quality of life and manage symptoms during the end-of-life stage.