A nurse is preparing a client for surgery and discovers a large sum of money in the client's wallet. Which of the following actions should the nurse take?
Contact security personnel to place the money in the designated secure location.
Label the money with the client's name and leave it at the nurses' station.
Place the money in an envelope in the client's medication drawer.
Hold the money for the client until their return from surgery.
The Correct Answer is A
Rationale:
A. Contact security personnel to place the money in the designated secure location: Hospitals have protocols for handling client valuables. The safest and most appropriate action is to notify security so the funds can be securely stored, documented, and returned appropriately. This maintains accountability and protects both the client and staff.
B. Label the money with the client's name and leave it at the nurses' station: Leaving valuables at the nurses' station, even if labeled, poses a risk for loss or theft. It does not meet institutional standards for safeguarding client property and may violate facility policies.
C. Place the money in an envelope in the client's medication drawer: Medication drawers are intended for storing prescribed medications only. Using them for valuables is inappropriate, insecure, and may lead to misplacement or confusion during care transitions.
D. Hold the money for the client until their return from surgery: Personally holding the client’s money is a liability and not an accepted protocol. It lacks formal documentation and security, increasing the risk of loss or accusation of theft.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "It expresses your wishes regarding health care when you can no longer communicate.": Advance directives are legal documents that state a client's preferences for medical care if they become unable to communicate those decisions themselves. This includes choices about life-sustaining treatments, resuscitation, and organ donation.
B. "It specifies your choices regarding funeral arrangements.": Funeral arrangements are typically addressed in a will or separate personal document, not in advance directives. Advance directives focus on medical decisions, not postmortem planning.
C. "It defines the criteria for the distribution of your assets.": The distribution of assets is handled through a last will and testament or estate planning documents, not through an advance directive. The directive is solely for healthcare-related decisions.
D. "It appoints a health care provider to speak for you with power of attorney for health care.": An advance directive may include the appointment of a health care proxy or agent, but it does not appoint a health care provider. It designates a trusted individual—not a clinician to make decisions if the client is incapacitated.
Correct Answer is B
Explanation
Rationale:
A. Social worker: A social worker assists with discharge planning, community resources, and emotional or financial support, but does not assess or manage swallowing difficulties.
B. Speech therapist: A speech therapist specializes in evaluating and treating swallowing disorders (dysphagia), especially after neurological events like a stroke. They play a crucial role in preventing aspiration and developing a safe feeding plan.
C. Physical therapist: A physical therapist focuses on mobility, strength, and ambulation training after injury or stroke. While vital for overall recovery, they are not involved in assessing or treating swallowing function.
D. Dentist: Dentists manage oral health, dental structures, and hygiene but are not involved in evaluating or treating swallowing difficulties related to stroke.
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