Final answer:
The top priority in discharge planning for an older adult client who had a stroke is planning reachable goals with the client and family, under the registered nurse's supervision, ensuring a comprehensive and informed approach to post-discharge care.
Step-by-step explanation:
The nursing priority during discharge planning for an older adult client who suffered a stroke and will soon be going home is c. Planning reachable goals with the client and family. This involves the direct supervision of a registered nurse, who collaborates with the patient and family to develop a plan that addresses the patient's needs and capabilities post-discharge. This priority encompasses a comprehensive approach that includes focusing on providing dialysis treatments if necessary, understanding the patient history and current condition, and ensuring that the patient and family know how to manage medications and recognize signs of deterioration that would require medical attention. It is also important for the interdisciplinary team, which may include the surgeon, nurse, and anesthesia professional, to review aloud the key concerns for the recovery and care of the patient to ensure that everyone involved in the patient’s care is well-informed and prepared.