A case manager is completing discharge planning for a client who has alcohol use disorder and cirrhosis of the liver. Which of the following actions should the case manager take first?

When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:

c) Explain the process for completing a living will.

A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.

The other options may not be as appropriate:

a) Request the facility chaplain to visit the client:While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.

b) Ask the client to sign an informed consent form:Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.

d) Complete an against medical advice form:This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.

The correct answer is choice b. Teaching about inhaler use to a client who has asthma.

Choice A rationale:

Educating adults about breast cancer screening guidelines is an example of secondary prevention. It aims to detect and treat disease early to halt its progress.

Choice B rationale:

Teaching about inhaler use to a client who has asthma is an example of tertiary prevention. It involves managing an existing chronic condition to prevent complications and improve quality of life.

Choice C rationale:

Providing STI testing for students on a college campus is an example of secondary prevention. It focuses on early detection and treatment to prevent the spread of infections.

Choice D rationale:

Promoting the use of helmets with children who ride bicycles is an example of primary prevention. It aims to prevent injury before it occurs by encouraging safe practices.