Author Question: The nurse is caring for a 78-year-old patient with liver cancer. The patient and his wife live at ... (Read 73 times)

daltonest1984 · **on:** Jul 22, 2018

The nurse is caring for a 78-year-old patient with liver cancer. The patient and his wife live at home. In addition to caring for the patient, the nurse also assesses caregiver stress in the patient's wife.

Which of the following indicates caregiver stress? a. Increased visits from church members
b. Asking her daughter for help with shopping
c. Remaining cheerful and without depression
d. Contracting pneumonia

Question 2

A nurse is caring for a patient who suffers from a sleep pattern disturbance. To promote adequate sleep, what are the most appropriate nursing interventions? (Select all that apply.)

a. Straighten and change any soiled bed linens.
b. Synchronize the medication, treatment, and vital signs schedule.
c. Provide personal hygiene before bedtime.
d. Discuss with the patient the benefits of beginning a long-term nighttime medication regimen.
e. Assist the patient to use the toilet before bed.

tandmlomax84 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Assess for caregiver stress, such as tension in relationships with family and care recipient, changes in level of health, changes in mood, and anxiety and depression. Contracting pneumonia could be a sign of caregiver stress because it is a change in the level of health. Visits from church members and shopping with her daughter demonstrate good relationships with family and friends.

Answer to Question 2

A, B, C, E
You will make the patient more comfortable in an acute care setting by providing personal hygiene before bedtime. A warm bath or shower is very relaxing. Offer patients restricted to bed the opportunity to wash their face and hands. Tooth brushing and care of dentures also help to prepare the patient for sleep. Have patients void before going to bed so they are not kept awake by a full bladder. While a patient prepares for bed, help to position the patient off any potential pressure sites. Offering a back rub or massage helps relax the patient. Removal of irritating stimuli is another way to improve the patient's comfort for a restful sleep. Diaphoretic patients will benefit from a cool bath and dry clothes or linens. Perform nursing activities before the patient receives sleeping medications or begins to fall asleep. Long-term nighttime medication regimen can lead to abuse and dependence and is to be avoided.