A patient has been transferred to your unit. The transferring nurse has given you a report on the patient's condition and helped you settle them in bed. Your next priority would be to:
Check the MAR or eMAR to see what medications they are receiving.
Read all the orders the primary care provider has written.
Document the transfer in the medical record.
Perform a head-to-toe assessment.
The Correct Answer is A
A. Checking the Medication Administration Record (MAR) or electronic MAR (eMAR) is a priority to ensure continuity of care and administer medications as prescribed in a timely manner.
B. Reviewing the orders is important but may not be the immediate priority compared to ensuring the patient's medication needs are addressed.
C. Documenting the transfer in the medical record is essential but may be done after the initial assessment and administration of necessary medications.
D. Performing a head-to-toe assessment is important but typically comes after addressing immediate needs such as medication administration, especially if the patient has specific medication schedules.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While obtaining meals is important, the immediate priority during orientation is to ensure the patient knows how to call for assistance if needed, particularly the nurse, for any urgent concerns.
B. Showing patients how to call the nurse is crucial for immediate access to healthcare professionals for assistance or emergencies.
C. While knowing how to use the telephone can be helpful, the priority typically leans towards ensuring the patient knows how to request immediate assistance.
D. Knowing how to operate the TV is important for patient comfort but is usually considered of lower priority compared to accessing nursing assistance.
Correct Answer is B
Explanation
A. The stomach is where food mixes with digestive juices and begins the process of breaking down, but it's not the initial site where food enters the gastrointestinal tract.
B. The mouth is where digestion begins as food is chewed and mixed with saliva, forming a bolus that starts the process of digestion before moving through the esophagus.
C. The rectum is the final portion of the large intestine where waste is stored before elimination, not the starting point of digestion.
D. The small intestine is the primary site of nutrient absorption but is not the starting point where food enters the gastrointestinal tract.
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