A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

Choice A reason: Suggesting that the client read articles that recommend specific treatments for Crohn's disease is not an action the nurse should take. This is an inappropriate and potentially harmful action, as the nurse should not endorse any treatments that are not prescribed by the provider. The nurse should also avoid giving the client unreliable or biased sources of information.

Choice B reason: Recommending podcasts that discuss Crohn's disease to the client is not an action the nurse should take. This is an ineffective and insufficient action, as the nurse should not rely on podcasts as the primary source of education for the client. The nurse should also assess the quality and credibility of the podcasts before suggesting them to the client.

Choice C reason: Encouraging the client to research Crohn's disease on websites that have a .gov address is an action the nurse should take. This is an appropriate and helpful action, as the nurse should promote the client's self-education and empowerment. The nurse should also guide the client to use websites that have a .gov address, as they are more likely to provide accurate and evidence-based information.

Choice D reason: Asking a licensed practical nurse to explain Crohn's disease to the client is not an action the nurse should take. This is an irresponsible and unprofessional action, as the nurse should not delegate the task of client education to a licensed practical nurse. The nurse should provide the client with clear and comprehensive information about their condition and answer any questions they may have.

Choice A reason: A middle adult client who leaves the facility against medical advice does not require the involvement of the ethics committee. The nurse should document the client's decision, inform the provider, and provide discharge instructions.

Choice B reason: A young adult client who is participating in a medical research study does not require the involvement of the ethics committee. The nurse should ensure that the client has given informed consent and is aware of the potential risks and benefits of the study.

Choice C reason: An older adult client who has advance directives on file does not require the involvement of the ethics committee. The nurse should respect the client's wishes and follow the directives in case of a life-threatening situation.

Choice D reason: An adolescent client whose parents refuse a blood transfusion for religious reasons requires the involvement of the ethics committee. The nurse should consult the ethics committee to help resolve the conflict between the parents' beliefs and the client's best interests. The ethics committee can also provide guidance on the legal and ethical implications of the situation.