A nurse is providing oral care for a client who had has impaired upper extremity strength. Which of the following actions should the nurse take?

A. Allowing a new mother to hold her stillborn infant: This action demonstrates compassion and support, but it is more aligned with the ethical principle of beneficence, which focuses on promoting the well-being of the patient rather than specifically addressing fidelity.

B. Refusing to disclose information about a client to the media: This action reflects adherence to the principle of confidentiality and privacy, which is crucial in healthcare but does not specifically demonstrate fidelity. Fidelity primarily pertains to keeping promises and commitments to patients.

C. Confirming that a client going for surgery has signed a consent form: This action ensures that informed consent has been obtained, which aligns with the ethical principles of autonomy and beneficence. However, it does not directly represent fidelity, which is more focused on the nurse's obligation to follow through on commitments to the patient.

D. Keeping an appointment with a client: This action demonstrates fidelity, which involves the nurse's commitment to honoring promises and maintaining trust in the nurse-client relationship. By keeping appointments, the nurse shows reliability and respect for the client's time and needs, which is fundamental to ethical nursing practice.

A. A client who is 1 day postoperative and has a nursing assistant helping him out of bed: While this client is at risk due to being postoperative, the presence of a nursing assistant provides additional support and assistance, which helps mitigate the risk of falling during this transition.

B. An older adult client who is confused and has urinary frequency: This client is at the greatest risk for a fall. Confusion can impair judgment and coordination, and urinary frequency can lead to hurried movements to the bathroom, increasing the likelihood of falls. Older adults are generally more susceptible to falls due to physiological changes, and the combination of confusion and the need for frequent trips to the bathroom heightens this risk significantly.

C. A client with diabetes mellitus who has a leg ulcer: Although this client may have mobility issues related to the leg ulcer, diabetes does not inherently increase the risk for falls as much as confusion and urinary frequency do. The focus would be on wound care rather than immediate fall risk.

D. An adolescent client who has a leg fracture and has been using crutches for the past 2 days: While this client is at risk due to the leg fracture and the use of crutches, they are likely to have received instruction on proper use of the crutches. If the client is following these instructions, the risk may not be as high as that of the confused older adult.