A nurse is caring for a client who reports difficulty falling and remaining asleep. Which of the following actions should the nurse take to promote sleep?

A. "This test can determine your risk for bleeding.": Serum prealbumin does not provide information about clotting or bleeding risk. Coagulation studies, such as PT, aPTT, or platelet count, are used to assess bleeding risk, not prealbumin levels.

B. "This test can measure your nutritional status.": Serum prealbumin is a sensitive marker for assessing short-term nutritional status and protein-calorie malnutrition. Because it has a short half-life, changes in prealbumin levels can reflect recent dietary intake and effectiveness of nutritional interventions.

C. "This test can determine your risk for cardiovascular disease.": Prealbumin is not used to assess cardiovascular risk. Lipid profiles, cholesterol levels, and other biomarkers are used for cardiovascular disease risk evaluation, making this statement inaccurate.

D. "This test can measure your kidney function.": Kidney function is assessed through tests such as serum creatinine, BUN, and estimated GFR. Prealbumin levels are not direct indicators of renal function, although severe kidney disease may indirectly affect protein levels.

A. Insert a peripheral catheter to deliver intravenous fluids: Routine IV fluid administration is not a standard intervention in hospice care unless specifically indicated for symptom management. The focus in hospice is on comfort and quality of life rather than aggressive interventions, so placing an IV line for routine hydration is generally avoided.

B. Obtain a prescription for parenteral nutrition: Parenteral nutrition is typically not initiated in hospice care because it does not improve comfort or quality of life and may cause discomfort or complications. Hospice care prioritizes symptom management, pain relief, and emotional support rather than aggressive nutritional interventions.

C. Offer the client massage therapy: Massage therapy is an appropriate intervention in hospice care as it promotes comfort, reduces pain, alleviates anxiety, and supports emotional well-being. Complementary therapies like massage are aligned with hospice goals of enhancing quality of life and providing holistic care for clients nearing the end of life.

D. Initiate a referral for physical therapy: Physical therapy in hospice is generally limited and focused only on maintaining comfort and safe mobility rather than improving function or strength. While referrals can be made if needed, massage therapy is a more direct intervention to address comfort and symptom management at this stage of care.