A nurse is assisting with the plan of care for a client who is scheduled for hemodialysis via an arteriovenous fistula in the arm. Which of the following actions should the nurse recommend?

Correct answer: D

A) Encouraging the client to discuss the decision with her family can provide emotional support and help in decision-making.

B.Given that the client has already decided to stop dialysis treatment, discussing alternative treatment methods may not align with the client's wishes. It's essential for the nurse to respect the client's decision and provide support rather than trying to persuade the client to reconsider their decision.

C) Asking the facility chaplain to visit the client can offer emotional and spiritual support, addressing the client's needs in that aspect.

D. Supporting the client's decision to stop dialysis treatment is essential for respecting the client's autonomy and dignity. The nurse should provide emotional support, educate the client about what to expect, and ensure that appropriate palliative care measures are in place to keep the client comfortable and provide symptom management.

The nurse should intervene when the AP raises all four side rails on the client's bed. While it is important to ensure the client's safety and minimize the risk of falls, raising all four side rails can be considered a restraint and may not be the best practice for fall prevention. The use of physical restraints, including all four side rails, can lead to adverse outcomes such as entrapment, increased agitation, and decreased mobility.

A. Locking the wheels on the client's bed: This is an appropriate action to prevent the bed from rolling and ensure stability.

B. Clearing furniture from the path leading to the bathroom: This is a good practice as it creates a clear and safe path for the client to walk without obstacles.

C. Assisting the client to the bathroom every 2 hours: This is a proactive measure to prevent falls by ensuring regular toileting and minimizing the need for the client to get up and move independently.

It's important to promote mobility and independence for the client while ensuring their safety.