A home health nurse is caring for a client who has terminal cancer. The client tells the nurse they wish to stop their chemotherapy treatments. Which of the following statements should the nurse make?

Rationale:
A. Prolonged QT interval: Morphine does not typically cause a prolonged QT interval. QT prolongation is more commonly associated with certain antiarrhythmic or psychotropic medications, not opioid toxicity.

B. Fluid retention: Morphine is not known to cause fluid retention. Signs of toxicity are primarily related to central nervous system and respiratory depression rather than cardiovascular fluid balance.

C. Hyperactive deep tendon reflexes: Morphine toxicity usually depresses neurological function, leading to decreased reflexes rather than hyperactivity. Hyperactive reflexes are not characteristic of opioid overdose.

D. Bradypnea: Respiratory depression, manifested as bradypnea, is a hallmark sign of morphine toxicity. Excessive morphine depresses the brainstem respiratory centers, reducing the rate and depth of respirations, which can be life-threatening if not addressed promptly.

Rationale:
A. Approach the client from the side: Approaching from the side can startle or confuse a client with vision loss. It is safer to approach the client from the front while clearly announcing your presence, allowing them to orient themselves.

B. Keep objects in the client's room in the same place: Maintaining consistent placement of personal items and furniture helps the client navigate safely and reduces the risk of falls. Predictable surroundings support independence and confidence in mobility.

C. Allow extra time for the client to perform tasks: Clients with vision impairment may need additional time to complete activities of daily living safely. Allowing extra time reduces stress, promotes autonomy, and ensures tasks are performed correctly without rushing.

D. Touching the client to announce presence is not recommended because it can startle them; verbal communication is preferred.

E. Ensuring proper, high-quality lighting in the room helps clients with low vision perform tasks more safely and accurately, improving overall safety and comfort.