A dying client tells the nurse that he doesn’t want to see his family because he doesn’t want to cause them more sadness. Which action by the nurse is most appropriate?

Choice A reason: Communicable diseases are reported to public health, not the Board of Nursing, unlike nurse abuse, which requires board reporting. Assuming disease reporting is mandated risks misdirecting reports, potentially delaying public health action, critical to avoid in ensuring proper regulatory compliance in Texas nursing.

Choice B reason: Abuse of older adults by a nurse must be reported to the Texas Board of Nursing to ensure accountability and patient safety. This is critical for protecting vulnerable populations, upholding professional standards, and preventing harm, essential in maintaining ethical nursing practice and regulatory compliance in Texas.

Choice C reason: Patient discharge against medical advice is documented, not reported to the Board of Nursing, unlike nurse abuse. Assuming discharge reporting is required risks unnecessary board involvement, potentially overburdening regulatory processes, critical to avoid in ensuring appropriate reporting in Texas nursing practice.

Choice D reason: Parents declining treatment is a medical ethics issue, not a Board of Nursing report, unlike nurse abuse. Assuming parental refusal requires reporting risks misapplying regulations, potentially escalating family issues, critical to prevent in ensuring proper reporting focus in Texas nursing practice.

Choice A reason: Non-rebreather masks deliver high oxygen but don’t address airway obstruction in sleep apnea, unlike CPAP, which maintains patency. Assuming non-rebreather use risks ineffective treatment, potentially worsening apnea, critical to avoid in ensuring proper respiratory support for clients with sleep apnea during sleep.

Choice B reason: Simple face masks provide oxygen but don’t prevent airway collapse in sleep apnea, unlike CPAP, which ensures open airways. Assuming simple masks are appropriate risks inadequate therapy, potentially exacerbating hypoxia, critical to prevent in managing sleep apnea effectively in clients during sleep.

Choice C reason: CPAP masks maintain continuous airway pressure, preventing collapse in sleep apnea, ensuring oxygenation and restful sleep, critical for client health. This is the standard device, essential for effective management, reducing complications, and supporting respiratory stability in clients with sleep apnea during nighttime use.

Choice D reason: Nasal catheters deliver oxygen but don’t address airway obstruction in sleep apnea, unlike CPAP, which prevents collapse. Assuming catheters are sufficient risks persistent apnea, potentially causing hypoxia, critical to avoid in ensuring effective respiratory support for clients with sleep apnea during sleep.