A nurse is experiencing frequent disagreements with a physician about patient care decisions. What is the most effective step the nurse should take to resolve this conflict?

Avoid the physician and attempt to carry out patient care decisions independently.

Discuss the issue with the nurse manager to find a resolution.

Document all instances of disagreement and report them to the hospital administration.

Request a meeting with the physician to openly discuss each other's perspectives and find common ground.

Answer and Explanation

The Correct Answer is D

A. Avoiding the physician is unprofessional and can lead to further breakdowns in communication and collaboration.
B. While discussing the issue with a nurse manager can be helpful, it may not resolve the conflict directly between the nurse and physician.
C. Reporting disagreements to administration should be a last resort after attempts to resolve the conflict directly.
D. A direct meeting with the physician to discuss perspectives can lead to understanding and resolution of the conflict, fostering better teamwork and patient care.

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Correct Answer is B

Explanation

A: Refers to fluid retention, but in PKD, it’s cystic enlargement, not generalized fluid accumulation in the abdomen.
B: PKD is characterized by multiple fluid-filled cysts that cause kidneys to enlarge, contributing to abdominal distention or girth.
C: Describes hydronephrosis or severe infection, but that’s not specific to PKD's typical cause of abdominal enlargement.
D: Obstructive uropathy might cause backup, but wouldn’t explain chronic progressive abdominal girth in PKD.

A. pH 7.49 HCO3 24 PaCO2 30 B. pH 7.24 HCO3 14 PACO2 30 C. pH 7.50 HCO3 30 PCO2 40 D. pH 7.26 HCO3 21 PaCO2 46

Correct Answer is B

Explanation

A: Reflects respiratory alkalosis (elevated pH, low PaCO2) — not expected in AKI.
B: The ABG values show metabolic acidosis (low pH and low bicarbonate), which is commonly seen in AKI due to the kidneys’ reduced ability to excrete acids and reabsorb bicarbonate. The low PaCO2 indicates a compensatory respiratory alkalosis where the lungs are trying to blow off CO2 to compensate for the acidosis.
C: Reflects metabolic alkalosis (high pH, high HCO3), which is opposite of what’s seen in AKI.
D: Indicates mixed acidosis or possible uncompensated respiratory acidosis, but the bicarbonate isn’t low enough to represent true metabolic acidosis seen in AKI.

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A nurse is experiencing frequent disagreements with a physician about patient care decisions. What is the most effective step the nurse should take to resolve this conflict?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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