The nurse who is providing postmortem care for a client sees that the client is wearing a ring. What is the most important action regarding this observation?
1. Remove the ring and give it to the family.
2. Call the presence of the ring to the attention of the funeral director.
3. Tape the ring to the client's finger.
4. Document fully whatever action is taken.
Correct Answer: 4
Rationale 1: The ring should not be removed. The nurse should let the family know that the ring is on the client.
Rationale 2: The nurse could do this if the funeral director arrives and the nurse is still in attendance caring for the client.
Rationale 3: Theoretically all jewelry should be removed or in some instances, tape a ring to the finger. This may or may not be done, depending upon the circumstances.
Rationale 4: Depending upon the circumstances and what kind of ring it is, the nurse might take any of these actions. The most important action is to document what occurred.
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