The nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?

Choice A reason: Providing total assistance with all ADLs is not an appropriate intervention for the client because it can decrease the client's independence and self-esteem, and increase the risk of complications such as pressure ulcers, contractures, and infections. The client should be encouraged to perform as much self-care as possible, with assistance as needeD.

Choice B reason: Ordering a low-residue diet is not an appropriate intervention for the client because it can cause constipation, which can worsen the client's bowel function and quality of lifE. The client should consume a balanced diet that includes adequate fiber, fluids, and nutrients.

Choice C reason: Encouraging the client to void every hour is not an appropriate intervention for the client because it can disrupt the client's normal bladder function and increase the risk of urinary tract infections. The client should follow a regular bladder training program that involves voiding at scheduled intervals, using pelvic floor exercises, and managing fluid intakE.

Choice D reason: Instructing the client on daily muscle stretching is an appropriate intervention for the client because it can improve the client's mobility, flexibility, and range of motion, as well as prevent muscle spasticity, stiffness, and pain. The client should perform gentle stretching exercises under the guidance of a physical therapist or nursE.

The correct answer and explanation is:

d) Ask when the nurse should return. Correct

This is the action that the PN should take when entering the client's room and finding the couple in bed together. Asking when the nurse should return respects the client's privacy, dignity, and autonomy, while also ensuring that the client receives the necessary care.

The PN should acknowledge that the client has the right to express her sexuality and intimacy, as long as it is consensual and safe . The PN should also avoid making any judgments or assumptions about the client's relationship or preferences.

a) Request that the man get up and leave.

This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Requesting that the man get up and leave is rude, disrespectful, and intrusive, as it violates the client's privacy, dignity, and autonomy. The PN should not interfere with the client's sexual or intimate activities, unless there is a clear indication of abuse, coercion, or harm.

b) Report the incident to the family.

This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Reporting the incident to the family is inappropriate and unethical, as it breaches the client's confidentiality and autonomy. The PN should not share any information about the client's sexual or intimate activities with anyone without her consent, unless there is a clear indication of abuse, coercion, or harm.

c) Exit the room and quietly close the door.

This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Exiting the room and quietly closing the door is passive and neglectful, as it ignores the client's needs and care.

The PN should not avoid or delay providing care to the client because of her sexual or intimate activities, unless she requests so . The PN should also communicate with the client and her partner in a respectful and professional manner.