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 ["A","C"]
Explanation
Choice A rationale
Teaching the patient how to cope with therapy helps ensure the best outcomes by promoting adherence and understanding of the treatment regimen.
Choice B rationale
Nurses should not alter drug regimens; this is the responsibility of the prescribing healthcare provider.
Choice C rationale
Evaluating the effectiveness of therapy is a critical nursing responsibility to ensure that the treatment is achieving the desired outcomes.
Choice D rationale
While providing therapy is part of nursing care, it should not include altering the medication regimen.
Choice E rationale
Recommending over-the-counter medications is not within the nurse's scope of practice and should be done by a healthcare provider.
Correct Answer is C
Explanation
Choice A rationale
Working with animals is typically done in preclinical trials before phase I studies in humans and is not part of phase III drug evaluation studies.
Choice B rationale
Conducting research to determine the effectiveness of the drug is part of phase II studies. Phase III studies focus more on confirming effectiveness, monitoring side effects, and comparing it to commonly used treatments.
Choice C rationale
Monitoring and observing patients closely for adverse effects is a key responsibility in phase III drug evaluation studies. These studies involve a larger patient population to gather comprehensive safety and efficacy data.
Choice D rationale
Choosing appropriate patients to be involved in the study is primarily the responsibility of researchers and clinicians during the earlier phases of drug development, such as phase I and phase II studies.
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