Coordination of Care Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Coordination of Care flashcards as text
A nurse is caring for a client who needs wound care daily after discharge. Which referral is most appropriate?
Answer: Home health nursing
Home health nursing provides skilled nursing services such as wound care, medication management, and ongoing assessment in the client's home environment following discharge from an acute care facility.
A nurse receives a telephone order from a physician during an emergency. After taking the verbal order, which step is most important?
Answer: Read back the order to the physician for confirmation
Reading back the verbal/telephone order to the prescriber is the critical safety step that confirms accuracy before the nurse implements any intervention, reducing the risk of medication or treatment errors.
A nurse is preparing to transfer a client from the medical-surgical unit to the ICU due to deteriorating condition. Which action is most important to facilitate a safe transfer?
Answer: Provide a verbal and written handoff report to the receiving nurse
A thorough verbal and written handoff report (SBAR) is the most critical element of a safe client transfer, ensuring the receiving nurse has accurate and complete information about the client's condition, treatments, and current status.
A nurse is working with an unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?
Answer: Measuring and recording urinary output from a catheter
Measuring and recording urinary output from a catheter is a routine, non-complex task within the UAP's scope of practice. Assessment, teaching, and medication administration (such as enemas) require nursing judgment and cannot be delegated.
A nurse is reviewing a newly admitted client's medication list and notices a potential drug-drug interaction. Which action should the nurse take first?
Answer: Contact the prescribing provider to discuss the interaction
The nurse's first action should be to contact the prescribing provider to report the potential interaction and obtain guidance. The provider is responsible for deciding how to manage the interaction, which may include modifying doses, changing timing, or substituting medications.
A nurse is preparing discharge instructions for a client going home on warfarin (Coumadin). Which topic is most important to include in the teaching plan?
Answer: The importance of maintaining a consistent dietary intake of vitamin K
Warfarin's anticoagulant effect is directly influenced by vitamin K intake. Clients must maintain consistent (not eliminate) vitamin K consumption to keep INR stable. Abrupt changes in dietary vitamin K can cause the INR to become dangerously high or low.