An unlicensed assistive personnel (UAP) is asked to answer the call light for a client with streptococcal pharyngitis for whom droplet precautions have been implemented. The UAP refuses, informing the nurse of not being fitted for an N95 respirator mask. Which action should the nurse take?

Choice A reason: Veracity involves truthfulness, which is not the primary principle here. The nurse manager’s suggestions about support systems empower the staff member to seek help independently, emphasizing autonomy. Veracity would apply if the manager ensured honest communication, but the focus is on enabling self-directed action, not truth-telling.

Choice B reason: Autonomy is encouraged by suggesting support systems, empowering the staff member to make independent choices about managing personal issues. This principle respects the individual’s right to self-determination, aligning with ethical nursing practice. The manager’s guidance fosters decision-making, enabling the staff member to address emotional challenges proactively.

Choice C reason: Fidelity involves keeping promises or loyalty, which is not the focus. The nurse manager’s action centers on empowering the staff member to seek support, promoting autonomy. Fidelity would apply if the manager committed to ongoing support, but the emphasis is on enabling independent action, not obligation.

Choice D reason: Justice ensures fairness, which is irrelevant here. The nurse manager’s suggestions promote autonomy by encouraging the staff member to choose support systems. Justice would apply in equitable resource allocation, but this scenario focuses on individual empowerment, making autonomy the principle being encouraged by the manager’s actions.

Choice A reason: Hard pellets indicate constipation, potentially due to dehydration, low fiber, or medication side effects. This warrants follow-up to prevent impaction or discomfort. Constipation can lead to straining, hemorrhoids, or bowel obstruction, requiring interventions like hydration, dietary changes, or laxatives to restore normal bowel function and client comfort.

Choice B reason: Formed but soft stools are normal, reflecting healthy bowel function with adequate hydration and fiber. This description does not require follow-up, as it indicates no immediate pathology. Normal stools vary in consistency, but soft, formed stools align with optimal gastrointestinal health, requiring no further nursing intervention at this time.

Choice C reason: Solid stools with red streaks suggest fresh blood, possibly from hemorrhoids, fissures, or lower gastrointestinal bleeding. This requires urgent follow-up to identify the source and assess bleeding severity. Blood in stools can indicate serious conditions like colorectal pathology, necessitating diagnostic evaluation and intervention to prevent complications.

Choice D reason: Tarry stools indicate melena, suggesting upper gastrointestinal bleeding, possibly from ulcers or gastritis. This is a critical finding requiring immediate follow-up to assess hemoglobin, vital signs, and bleeding source. Melena can lead to anemia or shock if untreated, making prompt nursing assessment and intervention essential for client safety.

Choice E reason: Brown liquid stools suggest diarrhea, potentially from infection, medication, or dietary issues. This warrants follow-up to assess dehydration, electrolyte imbalance, or infectious causes like C. difficile. Diarrhea risks skin breakdown and fluid loss, requiring nursing interventions like fluid replacement and stool testing to address underlying causes.