A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?

Clients with total vision loss who use service animals depend on their dogs for mobility, safety, and independence. Service animals are working animals and should not be distracted or handled without permission. Nurses must demonstrate respect for both the client’s autonomy and the working role of the service dog. Appropriate communication and consent are essential when interacting in shared clinical environments. A. Petting the dog without permission is inappropriate because it distracts the service animal from its working responsibilities and may interfere with its ability to assist the client safely. Service dogs should only be interacted with when explicitly permitted by the handler. B. Consulting the client before approaching the dog demonstrates respect for the client’s autonomy and ensures that the service animal is not disturbed while performing its duties. This action maintains safety and supports the working relationship between the client and the service animal. It reflects appropriate professional and ethical behavior. C. Offering the dog a bowl of water without permission is inappropriate because it interferes with the handler’s responsibility for the animal’s care and may disrupt the dog’s routine or training. All needs of the service animal should be directed through the client. D. Commanding the dog to sit is inappropriate because service animals are trained to respond only to their handler’s commands. Attempting to direct the dog may confuse or distract it, potentially compromising the client’s safety and independence.