Exhibits

A nurse is reviewing the electronic medical record of a client who is at 29 weeks of gestation. Which of the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Rationale:
A. "I need to be discharged now due to household responsibilities.": This statement reflects denial of the seriousness of preeclampsia and poor coping, as the client is prioritizing home duties over health. Clients with preeclampsia require rest, monitoring, and adherence to medical advice to prevent complications such as eclampsia or HELLP syndrome.

B. "I am so bored of being on restricted activity.": Expressing boredom is a normal emotional reaction but does not indicate effective coping. It shows frustration with activity limitations rather than acceptance and constructive adaptation to the treatment plan.

C. "I am using a notebook to record questions for my providers.": Keeping a notebook demonstrates proactive engagement and self-management. This behavior reflects effective coping, as the client is taking responsibility for understanding their condition and participating in care decisions to promote safety and adherence.

D. "I don't want any visitors while I'm here.": Avoiding social support may indicate withdrawal or emotional distress. Isolation can hinder coping and increase anxiety, whereas maintaining open communication and support networks usually improves adjustment to the condition.

Rationale:
A. Beneficence: Beneficence involves promoting the well-being of clients. While both clients’ needs are important, the issue here is unequal access to resources, not the nurse’s intent to benefit them.

B. Autonomy: Autonomy relates to the client’s right to make informed decisions about their own care. The situation does not interfere with either client’s ability to make choices.

C. Nonmaleficence: Nonmaleficence means avoiding harm. Although delayed access to supplies could indirectly cause harm, the primary ethical concern is the fairness in distribution, not direct harm by action.

D. Justice: Justice involves fairness and equitable treatment. Providing supplies to one client based on insurance status while requiring the other to obtain them elsewhere reflects unequal treatment and a breach of the principle of justice.