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
Calcium and magnesium imbalances are less likely to influence Digoxin's effects compared to potassium and magnesium.
Choice B rationale
While chloride levels are important, potassium is more critical due to its significant impact on Digoxin’s action.
Choice C rationale
Correct, potassium and magnesium levels are crucial as imbalances can potentiate Digoxin toxicity or reduce its efficacy.
Choice D rationale
Sodium and calcium imbalances are less directly related to Digoxin efficacy compared to potassium and magnesium.
Correct Answer is B
Explanation
Choice A rationale
Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.
Choice B rationale
Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.
Choice C rationale
Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.
Choice D rationale
The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.
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