A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per day to a child who weighs 35 kg.
The amount available is sucralfate oral suspension 1 g/10 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

The correct answer is choice D. “I’ll think about my grandfather’s farm to reduce pain.” This statement indicates an understanding of guided imagery, which is a relaxation technique that aims to help lower the levels of stress hormones and pain perception by imagining a scene that involves each of the senses and positive emotions.

Guided imagery can help to distract from pain signals and reduce anxiety, which can also contribute to pain.

Choice A is wrong because it does not involve creating a specific imagined reality, but rather noticing the sensation of muscle tension, which may increase awareness of pain.

Choice B is wrong because it does not involve using all of the senses and emotions, but rather listening to music, which may be relaxing but not as effective as guided imagery for pain relief.

Choice C is wrong because it does not involve imagining a scene, but rather using focused breathing to control pain, which is another relaxation technique but not guided imagery.

The correct answer is choice D. “You are feeling angry that your family continues to wish for a cure?”.

This response reflects the client’s feelings and encourages further communication.

It also shows empathy and respect for the client’s situation.

Choice A is wrong because it implies that the client is responsible for their family’s lack of understanding.

It may also make the client feel defensive or guilty.

Choice B is wrong because it is judgmental and dismissive of the client’s feelings.

It may also discourage the client from expressing their emotions.

Choice C is wrong because it focuses on the nurse’s needs rather than the client’s.

It may also sound intrusive or presumptuous to the client.

Hospice care is for people who are in the final stages of an incurable illness and want to focus on comfort and quality of life rather than curative treatments.

Hospice care teams provide physical, emotional, social, and spiritual support to clients and their families.

Hospice care can be provided at home, in a hospital, in a nursing home, or in a specialized hospice center.