An adult male who has end-stage renal disease asks the practical nurse (PN) to remove his arteriovenous (AV) fistula because he wants to discontinue dialysis. Which action should the PN take first?

A. Encourage client to discuss feelings with family: Helpful but not the immediate priority. B. Explain what will happen if client stops dialysis: Ensure informed decision-making about the consequences. C. Ask provider to remove fistula: Not appropriate until client is fully informed. D. Document the client’s statement: Should be done, but first priority is patient education.