A nurse is reinforcing discharge teaching with client who has stable angina pectoris. Which of the following statements by the client indicates an understanding of what to do when chest pain occurs?

A) Beneficence:
Beneficence refers to the ethical principle of doing good and acting in the best interest of the client. While providing accurate information about the adverse effects of medications contributes to beneficence by ensuring the client’s safety, the specific focus here is on truthfulness in communication, which is more closely aligned with veracity.

B) Veracity:
Veracity is the ethical principle of truthfulness. In this scenario, the nurse is providing honest and accurate information about the medications, including their potential adverse effects. This aligns directly with the principle of veracity, which emphasizes the importance of being truthful and transparent in communication with clients, especially regarding their care and treatment.

C) Justice:
Justice refers to the ethical principle of fairness, ensuring that clients are treated equitably and that their rights are upheld. While the nurse may be demonstrating fairness in the care process, the focus in this scenario is on the truthfulness of the information provided, which is better aligned with the concept of veracity.

D) Autonomy:
Autonomy refers to respecting the client's right to make their own decisions regarding their care. While providing truthful information about medications supports the client’s ability to make informed decisions, the primary ethical principle being demonstrated by the nurse in this scenario is veracity, as the nurse is specifically focused on being truthful with the client.

A) Inject 15 units of air into the regular insulin vial:
When drawing insulin from both NPH (a long-acting insulin) and regular insulin (a short-acting insulin), the nurse should first inject air into the NPH insulin vial (which is the intermediate-acting insulin) and then inject air into the regular insulin vial. This technique helps to prevent contamination of the regular insulin vial with NPH insulin. After injecting air into the regular insulin vial, the nurse would then withdraw the regular insulin first and then the NPH insulin to avoid contamination of the regular insulin with the NPH insulin.

B) Withdraw 10 units of NPH insulin:
This action is premature, as the nurse has not yet injected air into the regular insulin vial. The correct sequence involves injecting air into both vials before withdrawing any insulin. Therefore, withdrawing NPH insulin at this stage is not the correct next step.

C) Verify the dosage with another nurse:
While verifying the insulin dosage with another nurse is a good practice for ensuring medication safety, this action is not the immediate next step after injecting air into the NPH insulin vial. The priority is to follow the correct sequence of air injection into the vials before withdrawing the insulin. Verification can occur after the insulin is drawn.

D) Place the cap over the needle:
Placing the cap over the needle is a safety step that is generally performed after withdrawing the insulin and preparing the injection. However, this is not the next step in the process of mixing or drawing insulin, so it is not the correct action to take at this point.