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.

Encouraging the client to become a self-advocate.

Informing the client about providers who accept their health insurance.

Arranging an appointment for the client with a mobile health clinic.

Answer and Explanation

The Correct Answer is D

Choice A reason: Providing transportation information is helpful but does not directly coordinate care, as it addresses access rather than securing services. Coordination involves arranging specific care delivery, so this action is supportive but less comprehensive, making it incorrect for demonstrating care coordination.
Choice B reason: Encouraging self-advocacy empowers the client but does not actively coordinate care, which requires arranging services or resources. This action is educational, not logistical, and does not ensure access to health services, making it incorrect for this context.
Choice C reason: Informing about providers who accept insurance is informative but not sufficient for coordination, which involves facilitating actual care delivery. Without arranging services, this action remains preparatory, making it less effective than directly securing an appointment, thus incorrect.
Choice D reason: Arranging an appointment with a mobile health clinic directly facilitates access to care, addressing rural barriers. This active coordination ensures the client receives services, aligning with case management principles for underserved populations, making it the correct demonstration of care coordination.

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Correct Answer is A

Explanation

Choice A reason: Calcium gluconate IV reverses magnesium sulfate toxicity, which causes respiratory depression or arrhythmias due to excessive magnesium. Calcium restores neuromuscular and cardiac function by competing with magnesium, preventing life-threatening complications like respiratory arrest in preeclampsia management.
Choice B reason: Positioning supine is inappropriate, as it does not address magnesium toxicity and may worsen respiration in preeclampsia. Semi-Fowler’s position optimizes breathing, while toxicity requires pharmacological reversal with calcium gluconate, not positional changes, to manage life-threatening symptoms effectively.
Choice C reason: IV dextrose is irrelevant for magnesium toxicity, which affects neuromuscular function, not glucose levels. Dextrose treats hypoglycemia, not applicable here. Magnesium overdose requires calcium to counteract effects, making dextrose an ineffective intervention in preeclampsia-related toxicity management.
Choice D reason: Methylergonovine, a uterotonic, is contraindicated in preeclampsia, as it increases blood pressure, risking hypertensive crisis. It treats postpartum hemorrhage, not magnesium toxicity, which requires calcium gluconate to reverse neuromuscular depression, ensuring safety in preeclampsia management.

A. Amputation B. Primary glaucoma C. Osteoarthritis D. Hypertension

Correct Answer is D

Explanation

Choice A reason: Amputation is not a contraindication for kidney donation, as it does not affect kidney function or surgical risks. Physical disability, if stable, does not preclude donation, so this condition is irrelevant to eligibility, making it incorrect.
Choice B reason: Primary glaucoma does not impact kidney function or donation safety. It is an eye condition unrelated to systemic health risks for donation, so it is not a contraindication, making this an incorrect choice for exclusion.
Choice C reason: Osteoarthritis, if mild, is not a contraindication for kidney donation, as it does not affect renal or surgical outcomes. Severe cases may pose mobility issues, but this is not typical, so it is incorrect as a contraindication.
Choice D reason: Hypertension is a contraindication for kidney donation, as it increases risks of renal damage and cardiovascular complications post-donation. It compromises long-term kidney function, aligning with transplant guidelines, making it the correct condition to identify.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure?

Correct Answer is D

Explanation

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