A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg/hr transdermal patch. Which of the following instructions should the nurse include in the teaching?

A) "Raise the side rails up when the client is in bed.": While raising side rails may provide a sense of security, it can also increase the risk of falls if the client attempts to climb over them. Side rails should be used judiciously and are not always the safest option for clients with dementia.

B) "Place the bedside table at the foot of the bed.": This action can actually increase the risk of injury, as it makes it more difficult for the client to access necessary items, potentially leading to confusion and unsafe movements. Keeping essentials within easy reach can help prevent accidents.

C) "Keep the television on during the night.": While this may provide some comfort, it can also lead to confusion and disrupt sleep patterns for a client with dementia. A calm, quiet environment is generally more conducive to safety and well-being.

D) "Assist the client to the toilet frequently.": This is the most effective action to reduce the risk of injury. Regular assistance to the toilet helps prevent accidents and encourages toileting before the client feels an urgent need, which can lead to falls or confusion. Frequent checks can also help the client maintain dignity and comfort.

A) Noting changes in the treatment plan in the client's medical record: While this is important for continuity of care, it may not directly facilitate communication among staff in real-time or promote a collaborative approach.

B) Recording the client's progress in the nurses' notes: Documenting progress is essential, but it serves more as a record of care rather than an active communication tool among the team members.

C) Posting swallowing precautions at the head of the client's bed: This helps ensure that all staff are aware of the precautions, but it does not promote a broader dialogue about the client's overall care and communication needs.

D) Having interdisciplinary team meetings for the client on a regular basis: This is the correct answer. Regular interdisciplinary meetings encourage collaborative communication, allowing various healthcare professionals to discuss the client’s needs, share observations, and develop a cohesive care plan, which is especially important for clients with communication barriers like expressive aphasia.