An older adult client who cares for her husband at home has just learned that she needs to have knee replacement surgery. She tells the nurse she is concerned about her inability to provide care to her husband while she recovers from surgery and attends physical therapy. She has a friend who can drive her to and from her appointments once she is discharged, but cannot provide the care her husband needs. How should the nurse respond to the client?

A. Tell her to consider hiring a private nurse during the postoperative convalescence: Hiring private nursing care can be costly and may not be a feasible or practical option without a thorough evaluation of her needs and available resources. B. Recommend that the client's family return to the area to help provide assistance: Assuming family can or will return is unrealistic without first assessing the client's support system and resources through formal channels. C. Advise to have a case management evaluation of the client's home environment: A case management evaluation will provide a comprehensive assessment of the client’s needs, recommend appropriate services, and coordinate home health or caregiving support tailored to her situation. D. Suggest contacting social services to help find a respite care facility for her husband: While respite care could eventually be part of the solution, a case management evaluation is the first step to determine the most appropriate and personalized plan of care.