The nurse is preparing to administer an enteral tube feeding to a client via a nasogastric tube. Which nursing action should be completed first?

D. Consuming alcoholic beverages, especially close to bedtime, can disrupt sleep patterns and exacerbate insomnia. While alcohol may initially have a sedative effect and induce drowsiness, it can lead to fragmented and poor-quality sleep later in the night, resulting in worsened insomnia symptoms. Therefore, this statement indicates a need for further education by the nurse regarding the negative impact of alcohol consumption on sleep and the importance of avoiding alcohol before bedtime to improve sleep quality.
A. Keeping the bedroom cool (around 65 degrees Fahrenheit) is generally recommended for promoting sleep because a cooler temperature can help facilitate the body's natural temperature drop, which occurs during sleep onset.
B. Engaging in regular physical activity, such as taking a long walk during the day, can be beneficial for promoting better sleep. Physical activity during the day can help regulate the sleep-wake cycle, reduce stress, and improve overall sleep quality. Therefore, this statement reflects a positive sleep hygiene practice and does not indicate a need for further education.
C. This statement suggests an understanding of the importance of associating the bed with sleep and avoiding activities that may interfere with sleep, such as paying bills or working in bed. Maintaining the bed as a place primarily for sleep and intimacy can help condition the mind and body to associate the bed with relaxation and sleep.

D. This response validates the client's feelings without making assumptions, allows the client to share more about their experience, and fosters a supportive environment. It's important for healthcare professionals to create a space where clients feel heard and understood, especially during times of grief and new diagnoses, which can be overwhelming.
A. It acknowledges the client's feelings while also expressing the nurse's understanding of the grieving process. It reassures the client that they are not alone in their experiences, even if the nurse hasn't experienced the exact situation. However, telling the client that you know what they are going through may not make them feel understood.
B. While this response acknowledges the client's grief, it may come across as minimizing or dismissive of their current emotional distress related to their diabetes diagnosis. It focuses solely on the loss of the spouse and doesn't address the client's immediate concerns about managing their newly diagnosed condition. Therefore, it may not be the most therapeutic response in this situation.
C. This response might unintentionally invalidate the client's feelings by suggesting they should distract themselves from their grief and diabetes diagnosis. It could be perceived as dismissive or insensitive, as it doesn't address the client's emotional needs or offer support. Additionally, suggesting distraction may not be helpful or appropriate for someone experiencing significant emotional distress.