The nurse is admitting a client with Guillain-Barré syndrome to the nursing unit. The client has complaints of inability to move both legs and reports a tingling sensation above the waistline. Knowing the complications of the disorder, the nurse would bring which most essential items into the client’s room?

Choice A reason: Nonmaleficence ensures no harm but is secondary to veracity, which provides truthful information for consent. Truthfulness is critical, making this incorrect, as it’s not the primary ethical principle the nurse prioritizes when soliciting informed consent from a patient.

Choice B reason: Fidelity involves keeping promises but doesn’t directly ensure the patient receives accurate information for consent. Veracity is key, making this incorrect, as it’s less relevant than the nurse’s focus on truthfulness during the informed consent process.

Choice C reason: Beneficence promotes well-being but is less critical than veracity, which ensures informed decision-making. Truthful disclosure is primary, making this incorrect, as it’s secondary to the nurse’s ethical priority when obtaining informed consent from the patient.

Choice D reason: Veracity, or truthfulness, is the most important principle, ensuring the patient receives accurate information for informed consent. This aligns with ethical standards, making it the correct principle the nurse prioritizes to support autonomous decision-making during the consent process.

Choice A reason: Inverted T waves suggest ischemia but are less specific than troponin I, which confirms myocardial damage in ACS. This is incorrect, as it’s not the most significant finding within 3 hours compared to the nurse’s reliance on biomarkers for diagnosis.

Choice B reason: Peaked T waves indicate hyperkalemia, not ACS, which is diagnosed by troponin elevation. This is incorrect, as it’s unrelated to the nurse’s expected finding for acute coronary syndrome within the first 3 hours of symptom onset.

Choice C reason: Elevated troponin I is the most significant finding for ACS, indicating myocardial necrosis within 3 hours. This aligns with diagnostic criteria, making it the correct biomarker the nurse would prioritize to confirm acute coronary syndrome in the client.

Choice D reason: Troponin T is also specific for ACS but rises slightly later than troponin I, which is detectable sooner. This is incorrect, as troponin I is more significant within 3 hours for the nurse’s diagnosis of acute coronary syndrome.