A nurse is completing documentation at the end of a demanding shift and realizes they forgot to measure and record the output from a client's surgical drain. To save time, the nurse estimates the amount and documents it in the client's electronic health record. This action is a primary violation of which ethical principle?
Autonomy
Beneficence
Veracity
Justice
The correct answer is veracity. Veracity is the ethical principle of truthfulness and is fundamental to the nurse-client relationship and safe, effective care. Estimating and documenting a clinical value is a form of falsification and violates this principle. Accurate and truthful documentation is a legal and professional responsibility, as it ensures continuity of care and protects client safety. Beneficence, the principle of acting for the good of others, is not upheld by documenting false information, which could lead to harm. Justice refers to fairness in care delivery and resource allocation and is less relevant here. Autonomy is the client's right to make their own healthcare decisions, which is not the principle in question.
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