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 D

Explanation

Choice A reason: Penicillin, an antibiotic, has no known interactions with saw palmetto, a herbal supplement used for BPH. Saw palmetto affects prostate function, not antibiotic metabolism, so this combination is safe, making it an incorrect choice for an adverse interaction.
Choice B reason: Ipratropium, used for respiratory conditions, does not interact with saw palmetto, which targets prostate health. Their mechanisms are unrelated, and no significant drug-herb interaction exists, making this medication an incorrect choice for an adverse interaction with saw palmetto.
Choice C reason: Zolpidem, a sedative, has no documented interactions with saw palmetto. Saw palmetto’s effects on prostate tissue do not influence zolpidem’s central nervous system actions, so this combination is safe, making it incorrect for an adverse interaction.
Choice D reason: Finasteride, used for BPH, may interact with saw palmetto, as both reduce prostate size via similar mechanisms (inhibiting 5-alpha-reductase). Combined use can amplify effects or cause additive side effects, making this a potential adverse interaction, thus the correct choice.

A. Smoked salmon B. Cottage cheese C. Grapefruit D. Fresh apples

Correct Answer is A

Explanation

Choice A reason: Smoked salmon is high in tyramine, which phenelzine, an MAOI, prevents from being metabolized. This risks hypertensive crisis due to norepinephrine release, potentially causing stroke or cardiovascular complications. Avoiding tyramine-rich foods is critical for safety in clients on MAOI therapy.
Choice B reason: Cottage cheese is low in tyramine, safe for phenelzine users. Unlike aged cheeses, fresh dairy poses minimal risk of hypertensive crisis, as it lacks significant tyramine content. MAOIs require avoiding high-tyramine foods, making cottage cheese an acceptable dietary choice for these clients.
Choice C reason: Grapefruit affects CYP450 enzymes, interacting with some drugs, but is not contraindicated with phenelzine. It lacks significant tyramine, so it does not trigger hypertensive crises. Avoidance is unnecessary, as it does not impact MAOI metabolism or related cardiovascular risks.
Choice D reason: Fresh apples are low in tyramine and safe for phenelzine users. MAOIs require avoiding tyramine-rich foods like aged meats, but fresh fruits do not cause hypertensive crises, as they lack amino acids interacting with MAOI metabolism, making them safe for consumption.

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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

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Correct Answer is D

Explanation

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