A nurse is assisting a client who lives in a rural community with obtaining health services. Which of the following actions by the nurse demonstrates coordination of care?
Providing the client with information about transportation services.
Informing the client about providers who accept their health insurance.
Arranging an appointment for the client with a mobile health clinic.
Encouraging the client to become a self-advocate.
The Correct Answer is C
Rationale:
A. Providing the client with information about transportation services: This helps address access barriers but focuses on support services rather than directly organizing or integrating healthcare delivery, which is central to coordination of care.
B. Informing the client about providers who accept their health insurance: While helpful, this action centers on financial guidance. It supports access but does not actively bridge or organize care among multiple services or settings.
C. Arranging an appointment for the client with a mobile health clinic: Coordinating an appointment directly connects the client with needed services, especially in underserved rural areas. This reflects active care coordination by ensuring timely access to care and reducing system fragmentation.
D. Encouraging the client to become a self-advocate: Promoting self-advocacy empowers the client in their health journey but does not represent coordination of care. Coordination involves organizing and facilitating access across providers and settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Bleeding time: This test evaluates platelet function and capillary integrity, not anticoagulation status. It is not used to monitor warfarin therapy.
B. aPTT: Activated partial thromboplastin time is used to monitor heparin therapy, not warfarin. Warfarin affects different clotting factors primarily measured by PT/INR.
C. Factor VIII: This assesses clotting factor levels, particularly relevant in hemophilia A. It does not provide information about warfarin’s anticoagulant effects.
D. INR: The International Normalized Ratio is the standard test used to monitor warfarin therapy. It adjusts for variability in PT results and determines if warfarin is in the therapeutic range.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
Rationale:
- Prolonged rupture of membranes: Membranes ruptured for over 24 hours (28 hr), increasing the risk for ascending bacterial infections such as endometritis or chorioamnionitis.
- Prenatal anemia: Anemia reduces immune function and tissue oxygenation, making the client more susceptible to postpartum infections, including uterine and systemic infections.
- Polyhydramnios: Excessive amniotic fluid causes uterine overdistension, which weakens uterine contractility and increases the risk of atony and postpartum hemorrhage.
- High parity: Repeated stretching of the uterus in grand multiparity reduces muscle tone, making the uterus less responsive to postpartum contraction and more prone to atony.
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