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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Thiazide diuretics can lead to hypokalemia, thus a low potassium diet is not recommended. Instead, patients should consume potassium-rich foods to maintain electrolyte balance.
Choice B rationale
Thiazide diuretics increase urine output, which can lead to dehydration. Encouraging increased fluid intake helps to prevent dehydration and maintain proper fluid balance.
Choice C rationale
Thiazide diuretics can cause dizziness or lightheadedness, increasing the risk of falls, especially in elderly patients. Initiating a fall risk protocol is important to ensure patient safety.
Choice D rationale
While exercise is beneficial, thiazide diuretics can cause weakness and dizziness, making it important to assess the patient’s tolerance and monitor their response to physical activity.
Correct Answer is B
Explanation
Choice A rationale
Antiplatelets do not stimulate the plasmin system, which is involved in breaking down clots.
Choice B rationale
Antiplatelet medications work by altering the formation of the platelet plug, preventing platelets from clumping together.
Choice C rationale
They do not initiate the clotting cascade, which is a separate process from platelet aggregation.
Choice D rationale
They do not interfere with the clotting cascade directly but affect platelet aggregation. .
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