The focus on quality of life issues is best implemented by:

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.

A. This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. It emphasizes the positive impact that organ donation can have, which may provide some solace to the loved ones during a difficult time.

B. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress to the situation by mentioning a delay in the funeral. It does not address the potential benefits of organ donation or provide emotional support to the loved ones.

C. This response provides inaccurate information about organ donation. Organ donation is not limited to just kidneys, and various organs and tissues can be donated depending on the circumstances and the donor's medical history. Additionally, this response does not address the emotional aspects of organ donation or provide reassurance to the loved ones.

D. This response mentions a small cost associated with organ donation, which may not be accurate as organ donation typically does not involve financial costs for the donor's family. Additionally, focusing on the cost detracts from the altruistic and compassionate nature of organ donation and may cause unnecessary concern for the loved ones.