Coordinated Care NCLEX PN

Extract:

Question 1 of 5

While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process? A.Transport the client to the physical therapy room for treatment. ,B.Provide the client's medical record to the physical therapist. ,C.Contact the client's primary care provider to suggest a physical therapy referral.

Correct Answer: D

Rationale: For the client's referral to physical therapy, the nurse should first contact the primary care provider to discuss. Once the primary care provider provides the official referral, the physical therapist should have an opportunity to review the client's condition and medical record. Once the physical therapist has completed their review and is ready to see the client, the nurse can transport the client to physical therapy.

Question 2 of 5

An 85-year-old client is eligible for Medicare reimbursable home care services. Referral is contingent on meeting which of the following criteria?

A. homebound status, requiring skilled therapy care B. immediate previous hospitalization for acute care C. age D. requirement of nursing and social work support

Correct Answer: A

Rationale: The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/social work.

Question 3 of 5

An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?

A. emotional support to help the family deal with feelings of guilt about the infant's condition B. administration of MICRhoGam to the woman within 72 hours of delivery C. administration of Rh-immune globulin to the newborn within 1 hour of delivery D. lab analysis of maternal Direct Coombs' test

Correct Answer: A

Rationale: Sensitization means the mother has antibodies against Rh-positive blood, risking hemolytic disease in the fetus. Emotional support is critical to address guilt and concerns about the infant's condition.

Question 4 of 5

Delegation of tasks to appropriate personnel allows the nurse to:

A. take a break. B. keep other members of the team productive. C. maintain tight control of all aspects of the workflow. D. realize the importance of her role by making all decisions.

Correct Answer: B

Rationale: Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency.

Question 5 of 5

The nurse is caring for a client recovering from a stroke who recently regained consciousness. The client is having difficulty communicating verbally with the team. Which of the following would be least appropriate?

A. Begin client data collection prior to receiving the physician's order for the referral. B. Use documents to contribute information for the referral. C. Wait for the physician to order speech therapy and then assist with the appropriate documentation. D. Participate in the client referral process.

Correct Answer: C

Rationale: The nurse should participate in the client referral process, collect client data, and use appropriate documents to contribute information. It is not necessary to wait for the physician's order if the nurse recognizes the need for client referral.

Coordinated Care NCLEX PN | Nurselytic

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NCLEX-PN

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