The nurse is admitting a patient with an obstructive respiratory ...

[mpobi80]

The nurse is admitting a patient with an obstructive respiratory disorder. The nurse knows this includes which disorders? (Select all that apply.)
 
  A) Atelectasis
  B) Cystic fibrosis
  C) Asthma
  D) Pneumonia
  E) Bronchiectasis

Question 2

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?
 
  A) Administer medications ordered immediately.
  B) Maintain the patient's confidentiality.
  C) Call the admitting physician immediately.
  D) Provide teaching about chronic renal failure.

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Answer to Question 1

B, C
Feedback:
Obstructive disorders of the lower respiratory tract include asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, and respiratory distress syndrome (RDS). Atelectasis is a collapse of once-expanded alveoli. Pneumonia is an infection of the lower respiratory tract. Bronchiectasis is a disorder of chronic infection and inflammation of the bronchial passages.

Answer to Question 2

C
Feedback:
Knowledge of the patient's diagnosed renal failure is essential to proper medication ordering because some dosages will need to be decreased whereas other medications may be contraindicated in this patient. The nurse does not breach confidentiality when sharing information that impacts needed care to the primary care provider. Teaching about renal failure may be provided at some point but it is not the priority in this situation. Medications should not be administered until they are appropriately adjusted by a health care provider who is aware of the renal failure diagnosis.