Nokea
The nurse is caring for assigned clients. Which of the following actions would reflect effective care coordination? Select all that apply.
- A. Arranging for an interdisciplinary conference
- B. Consulting with case management for a discharge plan
- C. Initiating appropriate outpatient referrals
- D. Performing post-discharge phone calls
- E. Implementing transmission-based precautions
Correct Answer: A, B, C, D
Rationale: Effective care coordination includes interdisciplinary conferences (A), case management for discharge (B), outpatient referrals (C), and post-discharge follow-up (D). Transmission precautions (E) are infection control, not care coordination.
You may also like to solve these questions
The nurse has received a telephone prescription from the primary healthcare provider (PHCP) for citalopram 10 mg PO daily. Which action is the nurse's priority while taking the telephone order?
- A. Verify that the medication is in stock
- B. Read back the prescription to the PHCP
- C. Inform the client of the new prescription
- D. Transmit the prescription to the pharmacy
Correct Answer: B
Rationale: Reading back the prescription to the PHCP (B) is the priority to ensure accuracy and prevent medication errors, a critical safety step in taking telephone orders. Verifying stock (A), informing the client (C), and transmitting to the pharmacy (D) are important but follow confirmation of the order’s correctness.
The nurse is caring for a client with a spinal cord injury experiencing shock. Which task can be delegated to unlicensed assistive personnel?
- A. Transport the client to the radiology department
- B. Perform passive range of motion
- C. Gather cardiac monitoring equipment
- D. Obtain vital signs
Correct Answer: C
Rationale: Gathering cardiac monitoring equipment (C) is a non-clinical task within the UAP’s scope. Transport (A), range of motion (B), and vital signs (D) require clinical judgment or stability assessment, inappropriate for UAPs in a shock scenario.
The nurse is caring for the following assigned clients. The nurse should prioritize following up with the client
- A. who had a myocardial infarction two days ago, and has an elevated troponin level.
- B. with infective endocarditis who wants to leave against medical advice (AMA).
- C. who has arterial insufficiency and is reporting leg pain after walking in the hall.
- D. recovering from cardiac catheterization, who has developed atrial fibrillation.
Correct Answer: D
Rationale: Atrial fibrillation post-cardiac catheterization (D) is a new, potentially unstable arrhythmia requiring immediate follow-up. Elevated troponin (A) is expected post-MI, AMA (B) needs discussion, and leg pain (C) is less urgent.
The nurse is caring for a client who reports having a durable power of attorney. The nurse understands that this type of advance directive is
- A. a person who makes decisions for a client once the health care provider states the client no longer has the capacity to make their own health care decisions.
- B. a legal document that tells health care providers and family members about which life-sustaining treatment is wanted or unwanted if the client is unable to make decisions.
- C. a legal document in which a client designates someone else to make medical decisions for them when the client can no longer do so.
- D. a specific designation specifying who can receive and discuss the client's privileged healthcare information.
Correct Answer: C
Rationale: A durable power of attorney for healthcare (C) is a legal document designating a proxy to make medical decisions when the client is incapacitated. Option (A) describes the role, not the document. Option (B) describes a living will, and (D) refers to HIPAA authorization, not an advance directive.
The emergency department (ED) nurse performs triage. Which client should the nurse prioritize care for? A client with
- A. hemophilia reporting knee and ankle stiffness with dizziness.
- B. chronic obstructive pulmonary disease (COPD) reporting a productive cough.
- C. chronic pericarditis reporting intermittent chest pain during inspiration.
- D. pain over the cheek radiating to the teeth, tenderness to percussion over the sinuses.
Correct Answer: A
Rationale: Hemophilia with joint stiffness and dizziness (A) suggests possible internal bleeding or anemia, a life-threatening emergency requiring immediate prioritization. COPD cough (B), pericarditis pain (C), and sinusitis (D) are less acute.