A nurse is assisting with teaching a client about over-the-counter medications used to treat insomnia. The nurse should include that which of the following is an adverse reaction of diphenhydramine?

Choice A reason : Increasing intake of saturated fats is not recommended for reducing stress. Saturated fats can contribute to the development of heart disease by raising cholesterol levels and should be limited in a healthy diet.

Choice B reason : Limiting alcohol intake is generally a good practice, but specifying "3 drinks per day" is not accurate. The Dietary Guidelines for Americans recommend up to one drink per day for women and up to two drinks per day for men.

Choice C reason : Choosing complex carbohydrates each day is beneficial for managing stress. Complex carbohydrates can increase the amount of serotonin in the brain, which has a calming effect. Foods rich in complex carbohydrates include whole grains, fruits, vegetables, and legumes⁷.

Choice D reason : Consuming less than 2000 mg of sodium per day is part of a healthy diet, but it is not specifically related to stress reduction. The American Heart Association recommends no more than 2300 mg a day and moving toward an ideal limit of no more than 1500 mg per day for most adults.

Choice A reason : While nasopharyngeal suctioning may be necessary to clear secretions, it should be done with the client's consent and in a manner that maintains their dignity. It is not the primary action to support dignity.

Choice B reason : Giving the client privacy during care is a fundamental way to support their dignity. It respects their personal space and autonomy, even in a vulnerable state.

Choice C reason : Demonstrating empathy is crucial in end-of-life care, as it acknowledges the client's feelings and experiences. However, it is not an action but rather an approach or attitude.

Choice D reason : Providing care with an optimistic attitude can be supportive, but it must be balanced with realism, especially in end-of-life situations where the focus is on comfort and dignity.

Choice E reason : Telling the client that their condition will improve may not be appropriate in end-of-life care, as it may not be truthful and could undermine trust.