A nurse is caring for a client who is receiving hospice care and has a prescription for fentanyl buccal film.
Which of the following methods should the nurse use to administer this medication?

The correct answer is Choice C.

Choice A rationale:

• This response is not appropriate because it is judgmental and may make the client feel defensive.
• It is important for the nurse to respect the client's right to make their own decisions about their health care.
• Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
• It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

• This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
• This approach can be counterproductive and may further alienate the client.
• It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

• This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
• It also demonstrates respect for the client's autonomy and validates their feelings.
• This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

• This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
• It is important for the nurse to provide accurate information to the client.
• Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.

An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].

HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.

An HbA1c value of less than 7% is generally considered a good target for people with diabetes.

Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].

Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].

Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].