The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

A. Call the supervisor: While it's important to involve the supervisor if the situation escalates or if additional support is needed, calling the supervisor should not be the nurse's initial response. The nurse should first attempt to address the behavior directly with the client.

B. Limit the amount of time spent in the client's room: Limiting the time spent in the client's room may seem like a temporary solution to avoid the uncomfortable situation, but it does not address the underlying issue of inappropriate behavior. The nurse should address the behavior directly to attempt to resolve it rather than avoiding the client's room altogether.

C. Have a male nursing assistant provide care: Assigning care based on gender may not be feasible or appropriate in all situations. It also does not address the underlying behavior of the client making inappropriate sexual comments. Additionally, it may not be fair to the male nursing assistant to assign care based on the client's behavior.

D. Address the behavior and ask that it stop: This is the most appropriate initial response. The nurse should directly address the client's behavior by setting clear boundaries and expressing that the sexual comments are inappropriate and unacceptable. The nurse can assertively communicate that such behavior will not be tolerated and ask the client to stop. This approach empowers the nurse to assert professional boundaries and encourages respect for both the nurse and other healthcare providers.

A. Sorry: Expressing regret or remorse for an error is important, but it does not fully encompass the ethical responsibility demonstrated in this scenario. While acknowledging the mistake and feeling sorry is essential, the nurse's primary ethical obligation lies in taking appropriate action to rectify the error and prevent harm to the client.

B. Accountable: Being accountable involves taking responsibility for one's actions, including acknowledging errors, reporting them promptly, and taking corrective measures. In this scenario, the nurse demonstrates accountability by recognizing the administration of a wrong dose of medication and promptly informing the supervisor. Accountability is a fundamental ethical principle in healthcare that promotes transparency, integrity, and patient safety.

C. Altruistic: Altruism involves acting in the best interests of others, often selflessly and without expecting personal gain. While reporting errors and ensuring patient safety can be considered altruistic actions, the primary ethical behavior demonstrated in this scenario is accountability, as the nurse takes responsibility for the medication error.

D. Just: Justice in healthcare refers to fairness, equity, and adherence to ethical principles in the distribution of resources and provision of care. While ensuring justice is an important ethical consideration in healthcare, it is not directly applicable to the nurse's behavior in this scenario. The primary ethical principle demonstrated here is accountability, as the nurse takes responsibility for the medication error and acts to address it appropriately.