A nurse is caring for a client who has been receiving long-term total parenteral nutrition (TPN). Which of the following actions should the nurse take first to taper the client from the TPN?

A. "If a client is gravely disabled, they may request admission as a voluntary individual.": Clients who are gravely disabled typically cannot make informed decisions regarding their care, so they would not be eligible for voluntary admission. Voluntary admission requires the client to have the capacity to consent to treatment.

B. "If a client under voluntary admission requests to leave, the nurse should contact the provider.": Clients admitted voluntarily have the right to request discharge, but the nurse must notify the healthcare provider to ensure safe discharge planning and evaluate if any legal or medical concerns exist. This statement reflects correct understanding of the legal responsibilities in voluntary admissions.

C. "Clients are not required to complete an admission application for voluntary admission.": Voluntary admission generally requires completion of an admission application or consent form to document the client’s agreement to treatment. Omitting this step would not comply with legal or institutional requirements.

D. "Clients under the age of 16 require involuntary commitment rather than voluntary admission.": Minors can be admitted voluntarily with parental or guardian consent depending on state law. They do not automatically require involuntary commitment, so this statement reflects a misunderstanding of the regulations surrounding voluntary admission of minors.

A. "Hair growth in the pubic area begins before breast development.": In females, breast development (thelarche) typically precedes pubic hair growth (pubarche). This statement is inaccurate and does not reflect the normal sequence of pubertal changes.

B. "Puberty begins with a female's first menstrual cycle.": Menarche occurs later in puberty, usually around Tanner stage 3–4, and is not the initial sign of pubertal development. Puberty begins with the onset of breast development and other secondary sexual characteristics.

C. "Females will stop growing by the age of 14.": Growth in females continues for several years after the onset of puberty, often until 16–18 years of age, depending on the timing of menarche and individual growth patterns. Stating age 14 is inaccurate.

D. "Females begin puberty about 2 years earlier than males.": This statement is accurate. On average, females begin puberty between ages 8–13, while males typically start between ages 10–15, reflecting the earlier onset of secondary sexual characteristics in females.