The client being prepared for a procedure asks to be allowed to wear a religious medal. The client states, "I have worn this medal and have not removed it since I was a teenager." What action should be taken by the nurse?
1. Tell the client that the medal must be removed as it is policy to remove all jewelry for these procedures.
2. Tell the client that the medal can be worn.
3. Tell the client that the nurse will explain to the colonoscopy staff about the medal and will request that they allow the client to wear it.
4. Remove the medal and place it on the head of the bed where the client will be able to see it during the procedure.
Correct Answer: 3
Rationale 1: The fact that there is a policy to remove all jewelry is simply a policy, and an exception might be made and documented in this case.
Rationale 2: The nurse should not tell the client that the medal will be allowed as this decision belongs to those directly involved in the procedure.
Rationale 3: The nurse should explain the significance of the medal to the colonoscopy staff and request that the client be allowed to wear it during the procedure.
Rationale 4: Removing the medal and placing it on the head of the bed is not a good choice. There may be no reason to remove the medal. Placing the medal on the head of the bed might allow it to be lost.
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