A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

A) Asking the client to cough while inserting the NG tube:
This action is not necessary and may not be appropriate during the insertion of an NG tube. Coughing can increase the risk of gagging and aspiration during the procedure.

B) Wearing sterile gloves to insert the NG tube:
While the nurse should maintain appropriate hand hygiene, wearing sterile gloves is not typically necessary for the insertion of an NG tube. Clean gloves are sufficient for this procedure.

C) Placing the client into a left lateral position before inserting the NG tube:
Positioning the client in a high Fowler's position (sitting upright) or semi-Fowler's position is generally preferred for NG tube insertion to facilitate tube passage into the esophagus and reduce the risk of aspiration. Placing the client in a left lateral position is not typically done for NG tube insertion.

D) Determining the length of the NG tube to be inserted prior to the procedure:
This is the correct action. Before inserting the NG tube, the nurse should measure the distance from the tip of the client's nose to the earlobe and then from the earlobe to the xiphoid process or the mark on the NG tube corresponding to the desired insertion length. This helps ensure that the tube is inserted to the appropriate depth and reaches the desired location within the gastrointestinal tract.

A. Placing the soiled linen on the floor before bagging it is unsanitary and violates infection control principles. It increases the risk of spreading pathogens to other surfaces, potentially contaminating the environment.

B. Placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination and maintains cleanliness. It adheres to infection control standards by ensuring that only soiled items are disposed of appropriately.

C. Holding the soiled linen against her body while carrying it to the linen bag risks transferring pathogens to the caregiver's clothing and skin, compromising personal hygiene and promoting contamination.

D. Shaking the soiled linen to remove any toilet paper remnants is ineffective and hazardous. It disperses potentially infectious particles, increasing the risk of contamination and compromising infection control efforts.