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. Diabetes screening: Screening is a form of primary or secondary prevention, aimed at early detection or prevention of disease, rather than tertiary prevention. It helps identify risk factors before complications develop.

B. Family planning: Family planning is a primary prevention strategy, focusing on preventing unintended pregnancies and promoting reproductive health. It does not address the management of existing conditions or complications.

C. Nutrition counseling: Nutrition counseling can serve as primary or secondary prevention depending on context, such as preventing chronic disease or managing early-stage conditions. It is not typically considered tertiary prevention.

D. Physical therapy: Physical therapy is a tertiary prevention intervention because it aims to improve function, reduce complications, and enhance quality of life for clients who already have a health condition. It helps manage existing disease and prevent further disability.

Rationale:
A. Limited hip abduction: Restricted hip movement in an infant can indicate developmental dysplasia of the hip (DDH). Early detection is essential because delayed treatment may lead to permanent hip deformities, gait abnormalities, and the need for surgical intervention.

B. Symmetric gluteal and thigh skin folds: Symmetry of gluteal and thigh folds is a normal finding in infants. Asymmetry may be a sign of DDH, but symmetric folds generally indicate normal hip development and do not require referral.

C. Equal leg length: Equal length of both legs is a normal musculoskeletal finding. Leg length discrepancy can be associated with hip dislocation or dysplasia, but equal lengths suggest proper femoral positioning.

D. Femoral head remains in the acetabulum during the Barlow maneuver: A stable femoral head during the Barlow test indicates normal hip stability. If the femoral head dislocates or is reducible, referral for orthopedic evaluation would be warranted.