A nurse is contributing to the plan of care for a client who was newly admitted and has tuberculosis. Which of the following actions should the nurse recommend Including in the plan of care?

Choice A Reason:

Prolonged PT/INR (prothrombin time/international normalized ratio) is not typically seen in pancreatitis. It may be indicative of liver dysfunction or issues with blood clotting.

Choice B Reason:

Elevated lipase levels are commonly seen in clients with pancreatitis. Lipase is an enzyme produced by the pancreas, and when there is inflammation or damage to the pancreas, such as in pancreatitis, it can lead to the release of lipase into the bloodstream. Therefore, an elevated lipase level is a typical laboratory finding in clients with pancreatitis.

Choice C Reason:

Elevated ammonia levels are not typically associated with pancreatitis. Elevated ammonia levels may be seen in clients with liver disease or other metabolic disorders.

Choice D Reason:

Decreased albumin levels are not typically associated with pancreatitis. Decreased albumin levels may be seen in clients with liver disease or malnutrition, but it is not a specific marker for pancreatitis.

Choice A Reason:

"Fidelity involves ensuring that we do no harm to the client.” This statement is more closely related to the ethical principle of nonmaleficence, which means "do no harm." Nonmaleficence focuses on avoiding harm and preventing any potential harm to the client.

Choice B Reason:

"Fidelity involves keeping promises made to clients." Fidelity is an ethical principle related to faithfulness, honesty, and keeping promises made to clients. It involves maintaining trust and being loyal to the client's best interests. This principle emphasizes the importance of nurses and healthcare providers honoring their commitments and obligations to clients, which helps build and maintain trust in the nurse-client relationship.

Choice C Reason:

"Fidelity involves making sure clients are able to make their own health care decisions. “This statement is more aligned with the ethical principle of autonomy, which emphasizes a person's right to make their own decisions about their healthcare. Autonomy relates to respecting a client's right to self-determination and informed consent.

Choice D Reason:

"Fidelity involves treating every client with the same level of respect." This statement is associated with the ethical principle of justice, which involves treating individuals fairly and equally and ensuring that they receive equitable care. It is about fairness and equality rather than the specific concept of keeping promises.