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"Focusing on your medication and diet regimen will help reduce stress levels." is partially correct but too directive and does not explore the client’s feelings. While lifestyle management is important, it does not address the client’s emotional experience or coping strategies.

"People are diagnosed with hypertension daily. Why are you feeling stressed?" is inappropriate. This statement minimizes the client’s feelings and may make them feel judged or dismissed.

"Try distracting yourself from your stress level. Avoiding it may make it go away." is incorrect. Avoidance is not a healthy coping strategy and does not address the underlying emotional experience, potentially worsening stress over time.

"I think you should give it a little more time since you just got this diagnosis." is inappropriate. This statement is judgmental and delays patient autonomy. Clients have the legal right to make decisions about their care as soon as they are informed and competent.

"You should check with your family before you make such a big decision." is incorrect. While involving family can be supportive, the client has the ultimate right to decide. The nurse should not imply that family consent is required.

"Once you create the advance directive, it can't be changed for a whole year." is incorrect. Advance directives can be revised at any time as long as the client is competent, so this statement is misleading and may cause unnecessary fear or confusion.

Most toddlers transition from two naps to one nap around 18–24 months and gradually may stop napping altogether between ages 3 and 4. Expecting a toddler to nap consistently until age 5 does not align with typical developmental sleep patterns and could indicate a lack of understanding of normal toddler sleep.

According to toddler sleep requirements, toddlers generally require 11–14 hours of total sleep per 24 hours, including nighttime sleep and naps. Overestimating sleep needs may lead caregivers to create unrealistic expectations or unnecessary interventions.

REM sleep in toddlers accounts for roughly 25–30% of total sleep, with the remainder being non-REM sleep. Overestimating REM sleep shows a lack of understanding of normal sleep architecture in early childhood.

Pain rating 3/10 is not a complication. A decrease in pain after administering an IV analgesic demonstrates that the medication is effectively managing the client’s discomfort, which is the primary goal of therapy. This finding reflects therapeutic success rather than an adverse reaction or complication, and it indicates that the dosage and timing of the analgesic are appropriate.

Blood pressure 149/86 mm Hg is elevated but is not a direct complication of IV analgesics. Pain itself can raise blood pressure, and effective pain management may reduce it. While the nurse should continue to monitor blood pressure, this reading does not indicate an adverse effect from the medication.

Temperature 98.7°F (37°C) is within normal limits and is not associated with IV analgesic therapy. Analgesics do not typically alter body temperature acutely, so this finding is not a concern regarding complications.

Placing the client close to the nurse's station for monitoring is incorrect. While monitoring may be necessary for certain high-risk clients, proximity to the nurse's station can increase noise and disturbances, making it more difficult for a client with insomnia to rest.

Encouraging one big meal before bed is incorrect. Heavy meals before bedtime can disrupt sleep, cause indigestion, and worsen insomnia rather than promote restful sleep.

Turning on a soothing television channel is incorrect. Even relaxing TV programs can stimulate the brain, emit light, and disrupt circadian rhythms, interfering with the ability to fall asleep. Alternative relaxation techniques, such as reading, gentle stretching, or guided imagery, are preferable.

Reminding the client they will need to look eventually is incorrect. Pressuring or using coercion can increase anxiety, resistance, and emotional distress, which may hinder learning and adjustment to the colostomy.

Documenting the refusal and changing the subject is inappropriate. While documenting is necessary, avoiding discussion does not address the client’s emotional needs or provide opportunities for education, which are critical for adaptation and independence in colostomy care.

Asking a family member to encourage the client to look at the colostomy is incorrect. Introducing a family member without the client’s consent may increase embarrassment or resistance. The nurse should first address the client’s feelings directly and provide support in a therapeutic, patient-centered manner.

Preventing evacuation of the bowels and bladder is incorrect. While postmortem care involves cleansing and ensuring the body is clean, elevating the head of the bed does not prevent postmortem evacuation, which is managed through proper hygiene and positioning of the body overall.

Preparing the body for viewing by the family is partially correct, but it is not the primary rationale. Family viewing considerations include cleanliness, grooming, and respectful positioning, but elevating the head specifically addresses circulation and appearance rather than the act of viewing itself.

To reduce the amount of work for the mortician is incorrect. The nurse’s responsibility is focused on dignified postmortem care, not on easing tasks for the mortician.