The client has protective precautions (reverse isolation) in place due to a severely depressed neutrophil count. Which statement by the client demonstrates a good understanding of the precautions?

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. Place a seat alarm in the client's chair: This action is the most appropriate first step. A seat alarm can alert the nurse if the client attempts to stand or leave the chair, allowing for timely intervention while promoting the client's dignity and autonomy. This approach aims to enhance safety without the use of restraints or medications.

B. Administer lorazepam to the client: While lorazepam may help manage agitation, it should not be the first action taken. Pharmacological interventions should be considered after non-pharmacological strategies have been explored. Additionally, administering medication requires careful assessment of the client’s current state and potential side effects.

C. Apply a vest restraint on the client: Restraints should be used only as a last resort and after all other options have been considered. Applying a vest restraint can lead to increased agitation and feelings of helplessness, which may exacerbate the client’s condition. The nurse should prioritize less restrictive interventions.

D. Place the client in bed with the two side rails raised: This action can pose safety risks, as raising side rails may create a false sense of security and could lead to falls if the client attempts to get out of bed. Additionally, confining the client to bed can lead to increased confusion and agitation. It is important to provide a safe environment that encourages mobility while minimizing the risk of falls.