A 40 year old client with mild dementia related to end-stage acquired immunodeficiency syndrome (AIDS) is preparing for discharge. The client has decided against further curative treatment. Before discharge, they develop ocular cytomegalovirus (CMV). Their health care provider recommends treatment with a ganciclovir-impregnated implant, which requires a surgical procedure. The client's spouse feels the implant won't help the client and asks the nurse if the implant will cure CMV. Which response best answers the spouse's question while promoting client advocacy? "The implant won't cure the virus, but it may help preserve their vision. If they can't see you or their surroundings, it may worsen their dementia and make caring for them at home more difficult." "The implant won't cure the virus. Pll tell the health care provider that you don't want them to have the procedure." "The implant won't cure the virus in your spouse's eye. The dementia they have means they are terminally ill. You're right to refuse further treatments because nothing more will help them." "The implant won't cure the virus, but it may protect their sight. Just because your spouse has dementia, doesn't mean they shouldn't be given the opportunity to see."
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"The implant won't cure the virus, but it may help preserve their vision. If they can't see you or their surroundings, it may worsen their dementia and make caring for them at home more difficult." This response acknowledges the spouse’s concerns while also emphasizing the importance of quality of life and the potential benefits of the treatment. It respects the client’s dignity and recognizes their current condition without dismissing their right to make informed choices about their care.
