Which statements indicate a patient may not be adhering to their treatment plan and should be reported to the RN?

A statement indicating that a patient may not be adhering to their treatment plan is typically one that suggests neglecting essential care or disregarding instructions that are crucial for their health. The choice regarding the access site not being cleaned due to soreness raises significant concerns. Poor hygiene around the access site for dialysis can lead to serious complications such as infections or thrombosis. Adhering to proper access site care is critical for maintaining the function and health of the vascular access, and any change in routine care should trigger a discussion with the healthcare provider.

In this context, while some of the other statements might suggest issues with adherence, they do not reflect immediate risks to health that warrant reporting. For example, forgetting medication is a concern but might not have an immediate impact on treatment. Similarly, managing thirst and considering treatment duration can show awareness of the treatment plan, even if they may indicate some level of nonadherence. However, not cleaning the access site directly endangers the patient's health, making it essential to report this to the RN.