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 A
Explanation
A. Orienting the patient to the location of the call bell and instructing on its use is crucial for patient safety and assistance, enabling them to call for help when needed.
B. Discussing the expected cost of the room per day may be important but is typically handled by the administrative or financial services staff, not part of the nursing orientation.
C. Shift change times are important for staff but are less pertinent to a patient's immediate needs and orientation to the unit.
D. While creating a comfortable and friendly atmosphere is important, addressing the patient informally by their first name should be done only if the patient expresses a preference for it; it's not part of standard orientation.
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.
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