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 C

Explanation

Choice A reason: Starting work in a parking garage while on warfarin does not inherently indicate a need for referral unless specific risks (e.g., injury prone to bleeding) are present. Without additional concerns, this situation is routine, making it incorrect for requiring further care.
Choice B reason: Increased urinary frequency with bumetanide, a diuretic, is an expected side effect, not requiring referral unless severe or accompanied by electrolyte imbalances. This is a normal response, so it does not warrant further care, making it incorrect.
Choice C reason: An induration 48 hours after a Mantoux test suggests a positive tuberculosis result, requiring referral for chest X-ray and further evaluation. This finding indicates potential latent or active TB, a significant health concern, making it the correct choice for referral.
Choice D reason: Being 1 day postoperative after knee replacement is expected, with routine monitoring for complications like infection or thrombosis. Without specific issues, this does not require referral beyond standard postoperative care, making it incorrect.

A. Fibromyalgia B. Hypertension C. Iron-deficiency anemia D. Human papillomavirus

Correct Answer is B

Explanation

Choice A reason: Fibromyalgia, a chronic pain condition, is not a contraindication for oral contraceptives. Estrogen and progesterone do not exacerbate fibromyalgia’s musculoskeletal or neurological symptoms, as they primarily affect hormonal pathways, making contraceptives safe for use in clients with this condition.
Choice B reason: Hypertension is a contraindication for oral contraceptives, as estrogen increases renin-angiotensin activity, elevating blood pressure. This risks cardiovascular events like stroke or myocardial infarction, especially in clients with existing hypertension, necessitating alternative contraception to avoid vascular complications.
Choice C reason: Iron-deficiency anemia is not a contraindication, as oral contraceptives may reduce menstrual bleeding, improving anemia by decreasing iron loss. Their hormonal effects do not impact erythropoiesis, making them potentially beneficial for anemic clients, unlike hypertension, which poses risks.
Choice D reason: Human papillomavirus (HPV) is not a contraindication, as it affects cervical epithelium, not hormonal pathways. While some studies suggest a weak link to cervical cancer, HPV vaccination and screening mitigate risks, making oral contraceptives safe for clients with HPV.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following findings requires a referral for further care?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is initiating oral contraceptive use. Which of the following client conditions is a contraindication for oral contraceptive use?

Correct Answer is B

Explanation

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