A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of this client's ring?
Place the client's ring in the facility safe.
Place the ring in the bag with the client's clothing
Tape the ring securely to the client's finger
Agree to keep the ring for the client until after surgery.
The Correct Answer is A
A. Placing the client's ring in the facility safe ensures that it is securely stored and prevents loss or misplacement, which is standard procedure for valuable personal items before surgery.
B. Placing the ring in the bag with the client’s clothing is not secure, as it increases the risk of loss or theft.
C. Taping the ring to the client’s finger is not ideal because jewelry should generally be removed before surgery to prevent complications such as swelling, circulation issues, or electrical burns from cautery equipment.
D. Keeping the ring for the client is inappropriate because staff should not personally hold onto a client’s valuables. Instead, valuables should be properly documented and stored per facility policy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A client who has peripheral vascular disease and has an absent pedal pulse in the right foot is not the highest priority because this is a chronic condition that does not pose an
immediate threat to the client's health. The nurse should monitor the client's circulation, provide education on foot care, and encourage smoking cessation if applicable.
B. This client is at risk for urinary retention, which can lead to bladder distension,
infection, and renal damage. The nurse should assess the client's bladder, perform a
bladder scan, and notify the provider if indicated. This is the most urgent situation that requires immediate intervention.
C. A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy is not the highest priority because this is a planned procedure that does not require immediate action. The nurse should prepare the client for chemotherapy, provide emotional support, and teach the client about potential side effects and complications.
D. A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an
axillary temperature of 38° C (101° F) is not the highest priority because this is a sign of infection that can be managed with antibiotics and infection control measures. The nurse should administer the prescribed antibiotics, monitor the client's vital signs, and
implement contact precautions.
Correct Answer is ["A","C","E"]
Explanation
A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.
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