A nurse in the emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first?

Rationale:

A. Having assistive personnel double-check packed RBCs is inappropriate and unsafe, as this task requires nursing knowledge, critical thinking, and accountability. Delegating this to an AP violates ethical standards related to patient safety.

B. Delegating the removal of an IV catheter to an LPN is appropriate, as LPNs are trained and licensed to perform certain procedures under the supervision of an RN. This demonstrates understanding of the ethical principle of delegation within scope of practice.

C. Accepting gifts from clients or families can lead to conflicts of interest or perceived favoritism. The Code of Ethics advises nurses to avoid situations that compromise professional judgment, making this statement indicate a lack of understanding.

D. Attending continuing education classes for professional growth reflects the nurse’s ethical obligation to maintain competence and provide safe, evidence-based care, which aligns with the Code of Ethics.

E. Administering pain medication regardless of a client’s history of narcotic addiction demonstrates the ethical principle of nonmaleficence and beneficence, ensuring that clients receive appropriate pain management without discrimination or bias.

Rationale:
A. Toxoplasmosis is typically not a nationally notifiable disease in most states unless it is part of a specific outbreak or associated with congenital infections. Routine cases are generally managed by the healthcare provider and reported at the local level if required.

B. Candida infections are usually common and opportunistic, not reportable to the CDC unless part of an outbreak investigation.

C. Systemic lupus erythematosus (SLE) is an autoimmune condition and not considered a reportable disease. Reporting is not required for routine surveillance.

D. Lyme disease is a nationally notifiable disease. The CDC requires reporting of confirmed and probable cases to monitor epidemiological trends, identify outbreaks, and implement public health interventions. Reporting helps track geographic distribution and incidence of tick-borne illnesses.