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: Frequent swallowing is a key indicator of post-tonsillectomy hemorrhage, as the child may swallow blood from bleeding in the surgical site. This subtle sign requires urgent assessment to prevent airway obstruction or significant blood loss, aligning with clinical priorities, making it the correct finding.
Choice B reason: Increased drowsiness may indicate pain medication effects or general recovery but is not specific to hemorrhage. While concerning, it is less urgent than frequent swallowing, which directly suggests bleeding, making this finding less indicative of hemorrhage in this context.
Choice C reason: Elevated pain is expected post-tonsillectomy due to surgical trauma and does not specifically indicate hemorrhage. Pain may persist regardless of bleeding, so this finding is less reliable than frequent swallowing for identifying potential hemorrhage, making it incorrect.
Choice D reason: Diminished breath sounds suggest respiratory complications like atelectasis or obstruction, not hemorrhage. Bleeding would more likely present with swallowing or visible blood. This finding is unrelated to tonsillectomy hemorrhage, making it an incorrect indicator for this complication.

A. Reassure the client that she can have additional children. B. Discourage the client from allowing friends to see the newborn. C. Offer to take pictures of the newborn for the client. D. Advise the client to avoid discussing the stillbirth with family.

Correct Answer is C

Explanation

Choice A reason: Reassuring the client about future children minimizes her current grief and loss, which is inappropriate during initial grieving. This dismisses the emotional significance of the stillbirth, potentially causing distress, making it an insensitive and incorrect action.
Choice B reason: Discouraging friends from seeing the newborn restricts the client’s support system and grieving process. Allowing such interactions can provide closure and comfort, so this action is counterproductive and insensitive, making it incorrect for supporting grief.
Choice C reason: Offering to take pictures of the newborn provides a tangible memory, supporting the client’s grieving process. This sensitive intervention validates the loss and aids emotional healing, aligning with best practices for stillbirth care, making it the correct action.
Choice D reason: Advising against discussing the stillbirth isolates the client and hinders grief processing. Open communication with family fosters support and healing, so this action is harmful and contradicts grief support principles, making it incorrect.

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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 caring for a child who is postoperative following a tonsillectomy. Which of the following findings indicates that the child may be experiencing hemorrhage?

Correct Answer is A

Explanation

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?

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