Which of the following is an example of continuity of care?
Having small talk with a patient
Transferring a patient's hospital records to a specialist
Dismissing a patient from the practice
Verifying a patient's insurance
The Correct Answer is B
A. Having small talk with a patient: While engaging with patients is important, small talk is not related to continuity of care, which involves ensuring consistent and coordinated healthcare.
B. Transferring a patient's hospital records to a specialist: Continuity of care involves sharing patient information with all members of the healthcare team, including specialists, to provide seamless and coordinated care.
C. Dismissing a patient from the practice: Dismissing a patient ends the care relationship and does not contribute to continuity of care.
D. Verifying a patient's insurance: Verifying insurance is an administrative task and does not directly impact the continuity of patient care.
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Correct Answer is A
Explanation
A. A patient who has a breathing disorder: Fowler’s position (sitting with the head of the bed elevated) can help ease breathing difficulties by allowing better lung expansion.
B. A patient who has severe hypotension: Fowler’s position may exacerbate hypotension. A supine or Trendelenburg position might be more appropriate for severe hypotension.
C. A patient who is having a perineal examination: A lithotomy position is generally used for perineal examinations.
D. A patient who is having a rectal examination: The Sims' position is typically used for rectal examinations.
Correct Answer is D
Explanation
A. Have the patient sit upright: The patient should be kept in a position that promotes blood flow to vital organs; sitting upright may exacerbate shock.
B. Keep the patient cool: The patient should be kept warm to help maintain body temperature and prevent further complications.
C. Give fluids to the patient orally: In cases of shock, fluids should be administered intravenously by medical professionals to ensure proper management.
D. Elevate the patient's feet 8 to 12 inches: Elevating the patient's feet helps to increase blood flow to the vital organs by promoting venous return to the heart.