A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse is reviewing the monitor tracing and notes early decelerations. Which of the following should the nurse expect?

- A) Utility: This principle is about producing the greatest good for the greatest number. In the case of a medication error, the focus is not on the collective good but on the individual patient's rights and well-being.
- B) Paternalism: This principle involves making decisions for others, potentially against their will, for their own good. It does not directly apply to the situation of a medication error where the patient's autonomy and right to be informed are paramount.
- C) Fidelity: This principle refers to loyalty and keeping one's promises. While important, it is secondary to the immediate need for honesty and transparency in the event of a medication error.
- D) Veracity: This principle obligates healthcare providers to tell the truth. When a medication error occurs, it is crucial to inform the patient about the mistake and the steps being taken to remedy it, making veracity the most applicable ethical principle in this scenario.

A. Crepitus is not typically associated with right ventricular heart failure; it may indicate subcutaneous emphysema or air leakage into the tissues.

B. Right ventricular heart failure often leads to elevated pulmonary artery pressure due to increased pressure in the pulmonary circulation.

C. Hepatosplenomegaly may occur in congestive heart failure but is not specific to right ventricular heart failure.

D. Confusion may occur in severe cases of heart failure due to decreased cerebral perfusion, but it is not specific to right ventricular heart failure.