The home health practical nurse (PN) visits a young male client with AIDS who has Kaposi's sarcoma and peripheral neuropathies. His parents, who provide care for the client, report that their son sleeps most of the time. The PN observes the client is semi-conscious with stable vital signs and cries out in pain when turned or moved. A fentanyl patch is in place and skin lesions are closed and dried. Which intervention should the PN implement?

A. Give a complete bed bath to further assess the client: This could cause unnecessary pain and discomfort; comfort is the priority. B. Discuss end-of-life decisions with the client's parents: The client appears to be in the terminal stage of AIDS. It is appropriate to initiate discussions about palliative and hospice care with family. C. Call for ambulance transportation to the hospital immediately: The client’s condition is not unstable; hospitalization may not be indicated at this stage. D. Remove the fentanyl patch as directed by prescription: Removing pain control would worsen suffering unless there is a prescription change for adverse effects.