A patient with general debility has been on hospice for 11 months. Over the past 2 months, the patient has begun to eat 90% of their meals, experienced weight gain, and ambulates with a walker. The patient's sacral wound has healed. Which of the following should be the nurse's FIRST action?

Recertification is typically performed to confirm continued eligibility for hospice care based on certain criteria. However, before proceeding with recertification, it is crucial to first evaluate whether the patient still qualifies for hospice services, given their recent improvements. This makes discussing eligibility a more immediate priority.

While adding protein shakes could support the patient’s nutritional needs, the primary concern should be assessing whether the patient remains eligible for hospice care. Nutritional interventions can be secondary actions that are considered after determining the patient's current status regarding hospice eligibility.

Although physical therapy may benefit the patient in terms of mobility and strength, the first step should focus on the patient's eligibility for hospice. If the patient no longer qualifies for hospice, then transitioning to physical therapy could be discussed as part of a broader care plan outside of hospice services.