A nurse is caring for a client who is terminally ill. Which of the following findings should the nurse identify as an indication that palliative care should be recommended?

A. Constipation is a common symptom in many conditions and can usually be managed with routine interventions; it is not by itself an indication for palliative care. B. A serum albumin level of 52 g/dL is within or slightly above the normal range (typically 35–50 g/dL) and does not indicate deterioration requiring palliative care. C. Apnea alternating with hyperventilation (Cheyne-Stokes respirations) is a sign of impending death and serious neurologic or systemic decline. This is a strong indication that palliative or end-of-life care is appropriate. D. Peripheral edema can result from many chronic conditions like heart or kidney failure and is not by itself a reason to initiate palliative care.