The nurse observes a religious charm hanging from the wrist of a client being prepared for sur-gery. The nurse's best initial approach is to:
1. Remove the religious charm
2. Securely tape the charm in place
3. Ask the client to leave the charm with family members
4. Clarify whether the charm may remain in place during the procedure
ANS: 4
The nurse should first determine if it is permissible for the item to remain in place during the procedure. Removing the bracelet may create unnecessary stress for the client. Initially the nurse should determine if removal is necessary. Taping the bracelet in place may be appropriate after the nurse determines that the item may remain in place during the procedure. Asking the client to remove the item may create unnecessary stress for the client. Initially the nurse should determine if removal is necessary.
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