A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?

Choice A reason: This is the correct choice because autonomy is the ethical principle that respects the client's right to make their own decisions about their health care. The nurse should honor the client's wishes and preferences, even if they differ from the nurse's or the provider's. The nurse should not force or coerce the client to accept blood transfusions, as this would violate their autonomy.

Choice B reason: This is not the correct choice because fidelity is the ethical principle that requires the nurse to be faithful and loyal to the client and their agreement. The nurse should keep their promises and commitments, and act in the best interest of the client. The nurse should not administer blood transfusions to the client without their consent, as this would breach their trust and fidelity.

Choice C reason: This is not the correct choice because justice is the ethical principle that ensures fair and equal treatment for all clients. The nurse should distribute resources and services according to the client's needs and rights, and avoid any discrimination or bias. The nurse should not administer blood transfusions to the client against their will, as this would disregard their justice.

Choice D reason: This is not the correct choice because veracity is the ethical principle that obliges the nurse to be honest and truthful with the client. The nurse should provide accurate and complete information, and disclose any errors or risks. The nurse should not administer blood transfusions to the client without informing them, as this would violate their veracity.

Choice A reason: This is not the information that the nurse should include in the change-of-shift report. The time the client received his last dose of pain medication is not relevant to the transfer to the rehabilitation facility. The nurse should document the pain medication administration in the medication record and communicate it to the receiving nurse.

Choice B reason: This is the information that the nurse should include in the change-of-shift report. The steps to follow when providing wound care are important to ensure the continuity and quality of care for the client. The nurse should explain the type, location, and condition of the wound, the dressing materials and frequency, and any signs of infection or complications.

Choice C reason: This is not the information that the nurse should include in the change-of-shift report. The client's preferred time for bathing is not essential to the transfer to the rehabilitation facility. The nurse should respect the client's preferences and routines, but they are not a priority for the report.

Choice D reason: This is not the information that the nurse should include in the change-of-shift report. The belief that the client has a difficult relationship with his son is not based on facts and may be biased or inaccurate. The nurse should avoid making assumptions or judgments about the client's family dynamics and focus on the objective data and the client's needs.