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 C
Explanation
A. Brittle hair is more associated with protein deficiencies or inadequate hydration rather than insufficient fiber intake.
B. Bleeding gums can be related to vitamin deficiencies (like vitamin C), poor oral hygiene, or gum disease but not primarily to inadequate fiber intake.
C. Constipation is a common consequence of inadequate fiber intake, as fiber helps add bulk to stools, promoting regular bowel movements.
D. Memory loss is not typically a direct result of insufficient fiber intake; it may be associated with various neurological or age-related conditions.
Correct Answer is A
Explanation
A. Kwashiorkor is a severe form of malnutrition that occurs when a child is weaned from breast milk and lacks sufficient protein intake.
B. Lactose intolerance refers to the body's inability to digest lactose, a sugar found in milk, leading to gastrointestinal symptoms when dairy products are consumed.
C. Amino acid poisoning is an acute condition caused by excessive intake of a specific amino acid beyond the body's capacity to metabolize it, resulting in toxicity.
D. Malnutrition is a general term referring to inadequate nutrition, which can encompass various conditions, including kwashiorkor.
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