A nurse is considering the delegation of administering topical medications to an unlicensed assistive personnel (UAP). What is the first query the nurse must ask herself before doing so?

Choice A rationale

Performing nursing tasks quickly might compromise the quality and thoroughness of care. Unconscious patients still require careful and meticulous attention to their needs, and rushing could lead to errors or omissions in care.

Choice B rationale

Discouraging family members from touching an unconscious patient can be detrimental to the patient's well-being. Even in an unconscious state, patients may benefit from the familiar touch and presence of loved ones, which can provide comfort and potentially aid in sensory processing.

Choice C rationale

Turning the television to a loud volume is unlikely to be beneficial for an unconscious patient and could be overstimulating or even distressing. Sensory stimulation for unconscious patients should be carefully considered and usually involves gentle, controlled inputs rather than loud, indiscriminate noise.

Choice D rationale

Explaining procedures to an unconscious patient in a normal tone of voice is an appropriate action. Although the patient may not consciously understand, they may still have some level of auditory processing. Speaking calmly and explaining actions can also provide a sense of respect and dignity for the patient. .

Choice A rationale

While cultural sensitivity is important, respecting the client's desire to have her uncle make decisions would undermine her legal and ethical right to self-determination, which is a fundamental principle in healthcare. This right ensures individuals make their own healthcare decisions free from coercion.

Choice B rationale

Revisiting the decision without the uncle present might pressure the client and still not directly address her right to make her own informed choices. It doesn't empower the client to exercise her autonomy.

Choice C rationale

Holding a family meeting and encouraging the client to speak on her own behalf is a supportive approach, but it doesn't guarantee the client will feel empowered to make her own decision, especially if cultural norms strongly favor the uncle's authority.

Choice D rationale

Educating the client about her right to autonomy directly addresses the ethical principle of self-determination. By understanding her rights, the client is empowered to make her own informed decisions about her treatment, regardless of cultural influences or family dynamics.