A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks the nurse about the surgeon's medical diagnosis. The nurse responds that he is unable to provide the information requested. The nurse is displaying which of the following ethical principles?

A. Measure the circumference of both upper arms: This is the priority action. Swelling above the PICC insertion site could indicate infiltration or another complication. Measuring the circumference of both upper arms allows the nurse to assess the extent of swelling and monitor for any changes over time, providing valuable information for further intervention and evaluation.
B. Notify the provider who inserted the PICC line: This is an important action, but it may not be the first step. Before notifying the provider, the nurse should gather objective data by assessing the client's condition, such as measuring arm circumference, to provide a comprehensive report to the provider.
C. Remove the PICC line: This is not the first action to take. Removing the PICC line should only be considered after thorough assessment and under the direction of a healthcare provider, especially if there are signs of complications such as swelling.
D. Apply a cold pack to the client's upper arm: While applying a cold pack may help reduce swelling in some cases, it is not the priority action in this situation. The nurse should first assess the extent of swelling and gather additional data before implementing interventions such as cold therapy.

A. Erythema (redness) and edema (swelling) of the affected ear are classic signs of otitis media, an infection or inflammation of the middle ear. In otitis media, the middle ear becomes inflamed and fluid accumulates behind the eardrum, leading to redness and swelling of the tympanic membrane and surrounding tissues.
B. Tugging on the affected ear lobe is a common behavior observed in children with otitis media. Ear pulling or rubbing is often a sign of ear pain or discomfort, which can result from the pressure caused by the accumulation of fluid and inflammation in the middle ear.
C. Pain when manipulating the affected ear lobe is another common symptom of otitis media. Children with this condition may experience tenderness or discomfort when the affected ear is touched or manipulated due to the underlying inflammation and infection.
D. Clear drainage from the affected ear is not typically associated with otitis media. Instead, otitis media is characterized by the presence of middle ear effusion, which may manifest as fluid behind the eardrum. The drainage from otitis media is more commonly serous or purulent rather than clear.