The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis.
What is the nurse’s first priority?

Maintain the patient’s confidentiality.

Administer medications ordered immediately.

Provide teaching about chronic renal failure.

Call the admitting physician immediately.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While maintaining patient confidentiality is crucial, it does not address the immediate medical needs of the patient with chronic renal failure. The primary concern should be addressing the health implications of their condition and ensuring proper care coordination.

Choice B rationale

Administering medications ordered immediately is essential, but it is not the first priority without knowing the patient's current status and medical history. The nurse needs to ensure that the medications prescribed are appropriate for a patient with chronic renal failure.

Choice C rationale

Providing teaching about chronic renal failure is important for long-term management but is not the first priority upon admission. Immediate medical needs and communication with the care team take precedence in this acute care setting.

Choice D rationale

Calling the admitting physician immediately is the first priority. The primary care provider needs to be aware of the patient's diagnosis of chronic renal failure to adjust treatment plans accordingly. Immediate communication ensures that all healthcare professionals are on the same page regarding the patient's care. .

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Correct Answer is C

Explanation

Choice A rationale

Myasthenia gravis primarily affects voluntary muscles, especially those involved in breathing and facial movements. Gastrointestinal (GI) and lower extremity muscles are generally not the main muscles affected by this condition. It is an autoimmune disorder that impacts the neuromuscular junction, where nerves communicate with muscles, leading to muscle weakness and fatigue.

Choice B rationale

The central nervous system (CNS), memory, and cognition are not typically impacted by myasthenia gravis. This disorder primarily involves peripheral nervous system issues that affect voluntary muscle control rather than cognitive functions. Myasthenia gravis does not cause alterations in memory or cognition as seen with central nervous system disorders like Alzheimer's disease.

Choice C rationale

Myasthenia gravis notably affects respiratory and facial muscles. The autoimmune attack on acetylcholine receptors leads to muscle weakness, particularly in muscles controlling eye movements, facial expressions, and breathing. Patients may experience difficulty breathing, swallowing, and maintaining an open airway due to this muscle weakness.

Choice D rationale

The cardiovascular system and postural muscles are not commonly affected by myasthenia gravis. This condition involves the neuromuscular junction and leads to fatigue in voluntary muscles, primarily those involved in eye movement, facial expressions, and respiration. Cardiovascular symptoms are not a direct consequence of myasthenia gravis.

A. Drug Facts and Comparisons. B. A nurse drug guide. C. A drug package insert. D. The Physician's Drug Reference.

Correct Answer is B

Explanation

Choice A rationale

While "Drug Facts and Comparisons" is a comprehensive source, it is primarily used by pharmacists rather than nurses. Nurses might find it less practical for their day-to-day needs as it is detailed and more suited to in-depth drug comparisons.

Choice B rationale

A nurse drug guide is designed specifically for nurses and includes practical information for administering medications, understanding side effects, and nursing considerations. It’s tailored to the needs of nursing practice.

Choice C rationale

A drug package insert provides detailed information about a specific drug, including indications, dosage, and side effects. However, it lacks the breadth of information about multiple drugs and nursing considerations compared to a nurse drug guide.

Choice D rationale

The Physician’s Drug Reference (PDR) is an excellent resource but is more suited for physicians. It provides detailed drug information but may not focus on nursing-specific considerations and practical administration advice.

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The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis.What is the nurse’s first priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis.
What is the nurse’s first priority?