A nurse is caring for a client who has end-stage kidney disease and refuses further hemodialysis treatments. The client has advance directives that indicate no life-sustaining treatments. Which of the following actions should the nurse take?

A. The client’s decision and advance directives should be respected. Contacting the family to override or debate the decision violates autonomy and confidentiality. B. The client is competent and able to make decisions, so there is no need to defer to the health care surrogate. C. Encouraging further hemodialysis contradicts the client’s expressed wishes and advance directives, violating autonomy. D. The nurse should honor the client’s choice and discuss discharge planning that supports comfort-focused or palliative care, ensuring the client’s preferences are respected.