A nurse is teaching the adult child of an older adult client about Medicare. Which of the following information should the nurse include?

Medicare Part B offers assistance with paying for managed care plans.

Medicare Part C can assist with paying for prescription medications.

Medicare Part A will assist with paying for an inpatient stay at a medical facility.

Medicare Part D can offer assistance with paying for outpatient provider visits.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Medicare Part B offers assistance with paying for managed care plans: Part B covers outpatient services, physician visits, preventive services, and some home health care not managed care plans. Managed care falls under Medicare Part C, not Part B.

B. Medicare Part C can assist with paying for prescription medications: Medicare Part C, also known as Medicare Advantage, may offer prescription drug coverage, but not all plans include it. Drug coverage is primarily provided under Medicare Part D, which is a standalone or embedded benefit depending on the plan.

C. Medicare Part A will assist with paying for an inpatient stay at a medical facility: Part A covers hospital inpatient care, including stays in acute care hospitals, skilled nursing facilities, hospice care, and some home health services. It is the primary source of coverage for inpatient services.

D. Medicare Part D can offer assistance with paying for outpatient provider visits: Medicare Part D provides prescription drug coverage, not coverage for provider visits. Outpatient visits are covered under Medicare Part B, which handles most outpatient and preventive medical services.

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Correct Answer is A

Explanation

Rationale:

A. Monitor the client for bleeding: An aPTT of 110 seconds is significantly prolonged and indicates a high risk of bleeding. The therapeutic range for heparin therapy is typically 1.5 to 2.5 times the normal aPTT (around 45–70 seconds). At 110 seconds, bleeding complications are a major concern and should be closely monitored.

B. Maintain the client's heparin infusion at the current rate: Continuing the current infusion would further elevate the aPTT and increase the risk of serious bleeding. The infusion rate should likely be reduced or temporarily stopped under provider guidance based on protocol.

C. Administer vitamin K to the client: Vitamin K reverses the effects of warfarin, not heparin. For heparin overdose or excessive anticoagulation, protamine sulfate is the antidote, not vitamin K.

D. Increase the client's heparin infusion: Increasing the infusion would dangerously elevate the aPTT even further, placing the client at an even higher risk for spontaneous bleeding and hemorrhage. This action would be inappropriate.

A. Place the client in high-Fowler's position. B. Apply telemetry monitoring to the client. C. Administer an anticoagulant medication to the client. D. Initiate intravenous access for the client.

Correct Answer is A

Explanation

Rationale:

A. Place the client in high-Fowler's position: After starting oxygen therapy, the nurse should position the client upright to maximize lung expansion and improve ventilation-perfusion matching. High-Fowler's position facilitates easier breathing and enhances oxygenation in clients with a pulmonary embolism.

B. Apply telemetry monitoring to the client: Cardiac monitoring is important in PE management because of the risk for arrhythmias or right heart strain, but improving oxygenation and ventilation takes priority before monitoring heart rhythm.

C. Administer an anticoagulant medication to the client: Anticoagulant administration is a key treatment for pulmonary embolism, but it generally follows stabilization measures like oxygen therapy and proper positioning.

D. Initiate intravenous access for the client: Establishing IV access is crucial for administering medications, but ensuring the client can breathe effectively and maintain adequate oxygenation is a more immediate concern. IV access should follow oxygenation and positioning.

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A nurse is teaching the adult child of an older adult client about Medicare. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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