A nurse is caring for an older adult patient with chronic obstructive pulmonary disease. The patient always remains in a sitting position to help them breathe more easily. Based on this information, what area on the patient's body should be frequently assessed for skin breakdown?

A. "Yes! I am sure you are excited to finally eat something. Let's set the head of the bed up." This statement misleads the patient by suggesting they can eat orally, which contradicts the purpose of parenteral nutrition (IV nutrition).

B. "Let me have the provider come explain to you what parenteral nutrition is." While the provider can clarify details, the nurse should explain basic information about parenteral nutrition immediately rather than deferring the question.

C. "Unfortunately, no. We are going to be providing you with nutrition through your vein." This provides a clear, direct, and simple explanation of parenteral nutrition (IV nutrition) while acknowledging the patient's interest in food.

D. "No, we will be putting in a tube that will go from your nose to your stomach to help you eat." This describes enteral nutrition (NG tube feeding), which is different from parenteral nutrition (IV feeding).

A. Providing a detailed SBAR report to the primary nurse: SBAR (Situation, Background, Assessment, Recommendation) is a standard communication tool used among healthcare professionals to ensure continuity of care. Since this report is given to the primary nurse who is part of the healthcare team, it does not violate confidentiality.

B. Collaborating with the patient care technician for hygiene care: Patient care technicians (PCTs) are part of the healthcare team, and sharing necessary patient information with them to ensure hygiene care does not breach confidentiality.

C. Discussing the client's medications with the clinical instructor: A clinical instructor is responsible for overseeing student learning and patient safety. As long as the discussion is conducted in an appropriate setting (e.g., away from unauthorized persons), it does not violate confidentiality.

D. Writing the client's initials on the student care plan: Even using initials instead of a full name can still be considered identifiable information if someone can link it to a specific patient. To maintain confidentiality, students should use de-identified data in their care plans.