Coordination of Care 3

Question 1

A nurse working in a medical-surgical unit receives shift report and has four patients. Which patient should the nurse assess first?

Accepted Answer

A 48-year-old patient who returned from bronchoscopy 30 minutes ago and has a new oxygen saturation of 89%

Answer

A 55-year-old patient with diabetes who reports hunger and asks for a snack

Answer

A 70-year-old patient post-hip replacement who is requesting pain medication rated 6/10

Answer

A 62-year-old patient with heart failure who gained 1 lb since yesterday

Question 2

A charge nurse is delegating tasks to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

Accepted Answer

Measuring and recording urine output for a patient with a Foley catheter

Answer

Administering oral medications to a stable patient

Answer

Performing a focused assessment on a patient with chest pain

Answer

Changing a surgical wound dressing for the first time post-operatively

Question 3

A nurse is preparing to discharge a 68-year-old patient with newly diagnosed heart failure. Which action best ensures care coordination across the continuum?

Accepted Answer

Schedule a follow-up appointment with the cardiologist and arrange home health nursing visits

Answer

Provide the patient with a list of heart failure websites to research at home

Answer

Tell the patient to call 911 if symptoms worsen

Answer

Give the patient a printed copy of all discharge instructions

Question 4

A nurse is receiving a hand-off report using the SBAR format. Which information belongs in the 'Background' section?

Accepted Answer

The patient's medical history, admitting diagnosis, and relevant lab results

Answer

The patient's current vital signs and oxygen saturation

Answer

The nurse's assessment of the patient's current condition

Answer

The nurse's recommended plan and orders needed

Question 5

A nurse is caring for a patient whose family demands to speak with the surgeon immediately regarding the patient's prognosis. The nurse knows the surgeon is currently in the operating room. What is the most appropriate response?

Accepted Answer

Contact the surgeon's office to leave a message and offer to have the charge nurse speak with the family

Answer

Tell the family the surgeon is unavailable and they will need to wait until tomorrow

Answer

Page the surgeon immediately and interrupt the ongoing surgery

Answer

Encourage the family to look up information about the diagnosis online

Question 6

A nurse identifies a potential medication error in a patient's electronic health record — a duplicate order for the same antibiotic from two different providers. What is the nurse's priority action?

Accepted Answer

Hold both doses and contact both prescribing providers to clarify the orders before administering

Answer

Administer the medication from the most recent order and document the duplicate

Answer

Administer one dose and report the duplicate to pharmacy

Answer

Document the discrepancy and continue with scheduled administration