A nurse is caring for a client who is scheduled for coronary artery bypass surgery and does not wish to have any blood transfusions. The nurse should recognize that administering blood to this client is a violation of which of the following ethical principles?

Choice A reason: A nurse places a mask on a client with tuberculosis before transport to the radiology department is a safe handling technique, as it prevents the transmission of airborne pathogens to other clients and staff. The nurse should also wear a respirator and follow the standard and airborne precautions.

Choice B reason: A nurse cleans up a blood spill with hydrogen peroxide is not a safe handling technique, as it can damage the skin and mucous membranes and cause irritation and infection. The nurse should use a bleach solution or an approved disinfectant to clean up blood spills and follow the standard and contact precautions.

Choice C reason: A nurse removes her gown after leaving the client's room is not a safe handling technique, as it can contaminate the environment and expose the nurse to infectious agents. The nurse should remove the gown before leaving the client's room and dispose of it in a designated receptacle.

Choice D reason: A nurse disconnects an indwelling urinary catheter from the drainage bag to collect a specimen is not a safe handling technique, as it can introduce bacteria into the urinary tract and cause infection. The nurse should use a sterile syringe and needle to aspirate the specimen from the sampling port and follow the standard and contact precautions.

Choice A reason: Administering IV nitroglycerin to a client who is experiencing chest pain is not an appropriate assignment for the float nurse, as it requires advanced cardiac knowledge and skills that the nurse may not have. The charge nurse should assign this task to a nurse who is experienced in the emergency department.

Choice B reason: Completing a SAD PERSONS assessment scale for a client who has attempted suicide is not an appropriate assignment for the float nurse, as it requires mental health expertise and training that the nurse may not have. The charge nurse should assign this task to a nurse who is qualified in psychiatric nursing.

Choice C reason: Setting up a trauma room for an incoming client who was in a motor-vehicle crash is not an appropriate assignment for the float nurse, as it requires emergency preparedness and competence that the nurse may not have. The charge nurse should assign this task to a nurse who is familiar with the trauma protocols and equipment.

Choice D reason: Performing a urinary catheterization for a client who has experienced a cerebrovascular accident is an appropriate assignment for the float nurse, as it is a basic nursing skill that the nurse should have learned and practiced in the medical-surgical unit. The charge nurse should assign this task to the float nurse as long as the nurse is comfortable and confident with the procedure.