A nurse is teaching a client who has rheumatoid arthritis about illness management.

Which of the following instructions should the nurse include in the teaching?

The correct answer is choice A. “The more my baby is at the breast sucking, the more milk I will produce.” This statement indicates an understanding of the teaching because it reflects the principle of supply and demand in breastfeeding. The more the baby stimulates the breast, the more milk the mother will produce.

Choice B is wrong because manually expressing milk will not decrease the milk supply. In fact, it can help increase the milk supply by removing more milk from the breast and signaling the body to make more.

Choice C is wrong because the breast is not emptied after 5 to 10 minutes of feeding. The baby should be allowed to nurse until they are satisfied and show signs of fullness, such as releasing the nipple, falling asleep, or turning away from the breast. The average duration of a feeding session can vary from 10 to 45 minutes.

Choice D is wrong because the baby should not always start on the same breast when feeding. The mother should alternate which breast she offers first to ensure both breasts are stimulated and drained equally.

This can help prevent engorgement, mastitis, and low milk supply. A simple way to remember which breast to start with is to wear a bracelet or a clip on the bra strap on the side that needs to be offered next.

The correct answer is choice A. “I can give you information about respite care if you are interested.” Respite care is a service that provides short-term inpatient care for terminally-ill patients at a professional care facility, such as a hospital, hospice inpatient care facility, or nursing home. It is meant to relieve caregiver stress and offer them rest and time away from caregiving duties. Respite care is covered by Medicare for up to five consecutive days and no more than one respite period in a single billing period.

The nurse should offer this option to the son who is experiencing sleep deprivation due to caring for his mother.

Choice B is wrong because it suggests that the son should rely on medication to cope with his situation, which may not be appropriate or effective.

Sleeping pills may have side effects or interactions with other drugs, and they do not address the underlying cause of the son’s stress and fatigue.

Choice C is wrong because it does not acknowledge the son’s need for support or assistance.

It may sound like an empty compliment or a dismissal of the son’s concerns.

The nurse should express empathy and compassion, but also provide information and resources that can help the son.

Choice D is wrong because it does not offer any solution or guidance to the son.

It may also sound like a cliché or a generalization that does not reflect the son’s unique experience.

The nurse should avoid making assumptions or judgments about the son’s feelings or situation, and instead focus on his needs and preferences.