A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
Tell the client to leave her purse in a drawer of the bedside table.
Offer to place the purse in the facility safe.
Offer to store the purse at the nurses' station.
Place the purse in the clothing bag with the client's other belongings.
The Correct Answer is B
Choice A Reason:
Telling the client to leave her purse in a drawer of the bedside table is incorrect. Leaving the purse unattended in a bedside table drawer may not ensure its safety, as there could still be a risk of theft. Additionally, leaving valuables unattended in a hospital room may not be the safest option.
Choice B Reason:
Offering to place the purse in the facility safe is correct. Placing the purse in the facility safe is a secure option for safeguarding the client's belongings during surgery. It provides reassurance to the client that her valuables will be protected while she undergoes the procedure.
Choice C Reason:
Offering to store the purse at the nurses' station is incorrect. While storing the purse at the nurses' station may be a better option than leaving it in the client's room, it may not provide the same level of security as placing it in the facility safe. The nurses' station may be a busy area with various staff members coming and going, increasing the risk of theft.
Choice D Reason:
Placing the purse in the clothing bag with the client's other belongings is incorrect. Placing the purse in the clothing bag with the client's other belongings may not offer sufficient security, as the bag could still be accessible to unauthorized individuals. It's important to provide a secure storage option, such as the facility safe, to minimize the risk of theft.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
A sufficient supply of personal protective equipment is appropriate. Bioterrorism events can involve the deliberate release of biological agents, such as bacteria, viruses, or toxins, with the intent to cause harm to individuals or populations. In such events, personal protective equipment (PPE) is critical for protecting healthcare workers and first responders from exposure to infectious agents and toxins. Adequate supplies of PPE, including masks, gloves, gowns, and eye protection, are essential to ensure the safety of healthcare workers and to prevent the spread of infection.
Choice B Reason:
A network for communication between staff members and families, is important for coordinating care and providing updates during a disaster, but it is not the highest priority when addressing immediate safety concerns related to a bioterrorism event.
Choice C Reason:
A mental health specialist on the response team, is important for providing support to individuals affected by the disaster, but it is not the highest priority during the initial response phase focused on safety and containment.
Choice D Reason:
A system for tracking client information, is important for maintaining continuity of care and tracking patient outcomes, but it is not the highest priority in the immediate response to a bioterrorism event when protecting healthcare workers and preventing further spread of infection is paramount.
Correct Answer is ["A","C"]
Explanation
Choice A Reason:
Providing written information to a client regarding palliative care is correct. Advocating for the client's autonomy and right to information by providing written materials about palliative care empowers the client to make informed decisions about their care.
Choice B Reason:
Documenting a client's refusal to take a prescribed medication is incorrect. While documenting a client's refusal is important for accurate medical records, it is not an example of advocacy. Advocacy involves actively supporting the client's rights, preferences, and needs.
Choice C Reason:
Obtaining an interpreter for a client who speaks a different language than the nurse is correct. Advocating for effective communication ensures that the client can fully understand and participate in their care, regardless of language barriers. Obtaining an interpreter facilitates communication and promotes the client's right to understand and be understood.
Choice D Reason:
Initiating IV access on a client who has dementia while he is sleeping is incorrect. This scenario raises ethical concerns as it involves performing a procedure on a client who is unable to provide consent due to being asleep and having dementia. Without explicit consent or a medical emergency necessitating immediate intervention, initiating IV access in this situation may not align with client advocacy principles.
Choice E Reason:
Implementing a client's plan of care based upon nursing goals is incorrect. While implementing a client's plan of care is part of the nurse's role, it is not necessarily an example of advocacy. Advocacy involves actively promoting and safeguarding the client's rights, preferences, and well-being, which may sometimes involve advocating for modifications to the plan of care based on the client's needs and goals.
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