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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A Reason:
Reinforcing facility protocols at the next staff meeting, is important for reminding all staff members of the importance of following protocols, but it may not address the immediate issue at hand.
Choice B Reason:
Discussing the issue with the AP is correct. When a charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol, the first action should be to directly address the issue with the AP. This allows for immediate feedback and correction of behavior, helping to ensure that proper procedures are followed in the future.
Choice C Reason:
Alerting the infection control department, may be necessary if the violation poses a risk of infection transmission, but it may not be the first step. Directly addressing the issue with the AP allows for immediate correction and prevents potential harm.
Choice D Reason:
Notifying the unit manager about the incident, is also important, but addressing the issue with the AP directly is the immediate action needed to correct the behavior.

A. Demonstrate the proper client transfer technique for the AP. B. Instruct the AP to request assistance when unsure about a task. C. Refer the AP to the facility procedure manual. D. Help the AP assist the client with the transfer.

Correct Answer is D

Explanation

Choice A Reason:
Demonstrating the proper client transfer technique for the AP, could be beneficial after ensuring the immediate safety of the client. However, providing immediate assistance to the client is the priority.
Choice B Reason:
Instructing the AP to request assistance when unsure about a task, is important for promoting a culture of safety and collaboration. However, in this scenario, the immediate focus is on assisting the client.
Choice C Reason:
Referring the AP to the facility procedure manual, may be helpful for providing additional guidance and education on proper techniques. However, in the moment, the nurse manager should prioritize immediate action to assist the client.
Choice D Reason:
Helping the AP assist the client with the transfer is correct. When a nurse manager observes an assistive personnel (AP) incorrectly performing a task such as transferring a client, the first priority is ensuring the safety and well-being of the client. Therefore, the nurse manager should intervene immediately to provide assistance and ensure that the client is transferred safely.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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