A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

D. Demonstrates the nurse's commitment to advocating for the client's wishes and ensuring that their preferences are communicated to the healthcare provider. This response acknowledges the client's desire for ongoing treatment while also facilitating further discussion with the healthcare team about the available options and potential treatment modalities.
A. This may be premature and could be perceived as dismissive of the client's wishes. While hospice care may be appropriate for some clients with terminal illnesses, it should be introduced as an option after thorough discussion and consideration of the client's preferences and goals of care.
B. This may be blunt and insensitive, potentially causing distress or anxiety for the client. It is important to provide information about prognosis in a sensitive and empathetic manner, taking into account the client's emotional state and readiness to discuss such matters.
C. This may overlook the client's desire for continued treatment and may not fully address their concerns or needs. While encouraging the client to focus on quality of life and personal fulfillment is important, it should be done in conjunction with discussions about treatment options and goals of care.

D. Since the client is being discharged with home oxygen therapy, it's essential for the caregiver to know how to adjust the oxygen flow rate to maintain adequate oxygenation for the client's comfort and respiratory needs.
E. Prednisone, a steroid medication, is often prescribed to be taken in the morning to minimize the risk of insomnia or sleep disturbances associated with its use. Therefore, the nurse should emphasize this timing to optimize the therapeutic effects and minimize potential side effects.
F. Prednisone is typically prescribed in a tapering regimen, where the dose decreases gradually over time to prevent withdrawal symptoms and adrenal insufficiency. Therefore, it's crucial for the nurse to inform the client and caregiver about the tapering schedule to ensure adherence to the treatment plan.
G. It's important to keep the oxygen delivery system, including the oxygen tank and nasal cannula, away from any heat source to reduce the risk of fire hazards. Therefore, the nurse should educate the client

and caregiver about maintaining a safe distance from heat sources to prevent accidents and ensure their safety.
A. Some antibiotics can be taken with or without food, specific instructions are given for Cephalexin, which should generally be taken with food to minimize gastrointestinal side effects. Therefore, it's important for the nurse to provide this information to the client and caregiver.
B. It's essential for the caregiver to know where the oxygen cylinder wrench is stored for emergency purposes but it's not advisable to store it directly with the oxygen tank. Storing it separately ensures that it is readily accessible without causing any potential harm to the tank's integrity or creating a safety hazard.
C. The prescription for Cephalexin is to be taken every 6 hours for 5 days, not for 10 days. Therefore, it's crucial for the nurse to clarify the correct duration of antibiotic therapy to prevent misunderstanding and ensure appropriate adherence to the treatment plan.