A home health nurse is educating a client and their family about hospice care. Which of the following information should the nurse include in the teaching?

Choice A rationale

Notifying spiritual support personnel about a client who requests a visit is an important aspect of holistic care, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice B rationale

Requesting a dietitian consult for a client who asks for information about a vegan diet is important for the client’s nutritional health, but it is not the nurse’s priority action when reviewing information to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice C rationale

Asking social services to inform a client about community support organizations is a valuable part of discharge planning, but it is not the nurse’s priority action when reviewing information

to report to other members of the interprofessional team. The nurse’s priority should be to communicate information that directly impacts the client’s health and recovery.

Choice D rationale

This is the correct answer. Informing the physical therapist of activity restrictions for a client following a hip arthroplasty is the nurse’s priority action when reviewing information to report to other members of the interprofessional team. This information is crucial for the physical therapist to plan appropriate therapy and to ensure the client’s safety during therapy sessions.

The correct answer is Choice B

Choice A rationale: Turning the patient every 4 hours may prevent pressure ulcers, but it can cause discomfort for a near-death patient. Less frequent repositioning might be more suitable for maintaining comfort during the end-of-life stage.

Choice B rationale: Elevating the head of the patient's bed can help ease breathing difficulties by reducing the pressure on the diaphragm and enhancing lung expansion. This position promotes comfort and reduces the work of breathing, which is beneficial for near-death patients.

Choice C rationale: Offering the patient ice chips can provide temporary relief from dry mouth, but it may not be the most effective measure for ensuring comfort. Adequate hydration and regular oral care are generally more beneficial for maintaining patient comfort.

Choice D rationale: Providing oral care every 6 hours might not be frequent enough to ensure comfort. More frequent oral care, such as every 2 hours, helps maintain moisture in the mouth, reduces discomfort, and prevents infections, enhancing the patient's overall comfort