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
Explanation
Choice A rationale
Many complementary or alternative therapies can interact with prescribed medications, potentially causing serious health problems.
Choice B rationale
This is not a valid reason for asking about alternative therapies, as the nurse's role is to ensure safe and effective use of prescribed medications.
Choice C rationale
Non-compliance is not the primary concern when asking about alternative therapies; potential interactions are.
Choice D rationale
The cost of treatments is a consideration, but it is not the primary reason for asking about alternative therapies.
Correct Answer is D
Explanation
Choice A rationale
The half-life of a drug refers to the time it takes for the plasma concentration of a drug to reduce by half. It is not a primary consideration when substituting generic drugs for brand-name drugs.
Choice B rationale
Critical concentration is the amount of a drug needed to achieve therapeutic effects. While important, it is not the main factor in generic substitution.
Choice C rationale
Distribution describes how a drug is dispersed throughout the body's tissues and fluids. This factor is crucial for drug efficacy but not directly related to substituting generic drugs.
Choice D rationale
Bioavailability is the degree and rate at which an active drug ingredient is absorbed and becomes available at the site of action. Generic drugs must have the same bioavailability as brand-name drugs to ensure they are just as effective.
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