A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility.

To which tertiary service is the patient likely to be referred?

Respite care.

Home health care.

Wound care.

Hospice care.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Respite care is temporary care provided to give the primary caregiver a break, which is not the primary need of a patient recovering from a hip fracture.
Choice B rationale
Home health care is the most appropriate service for a patient who has been discharged home and needs physical therapy. Home health care can provide a range of services, including physical therapy, in the patient’s home.
Choice C rationale
Wound care would be more appropriate for a patient with a wound or ulcer that requires regular dressing changes, not for a patient recovering from a hip fracture.
Choice D rationale
Hospice care is end-of-life care for patients with terminal illnesses. It is not appropriate for a patient recovering from a hip fracture.

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Correct Answer is B

Explanation

The nurse completed the incident report at 1600.

Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight.

Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m.

Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m.

Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.

A. A 67-year-old male who requires discharge teaching. B. A 24-year-old female who requires a sterile dressing change. C. A 94-year-old male who requires a bed bath and linen change. D. A 76-year-old patient complaining of new onset dizziness.

Correct Answer is B

Explanation

Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.

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A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility. To which tertiary service is the patient likely to be referred?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers medication to a patient at 0900. Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?

Correct Answer is B

Explanation

The RN is creating assignments for the day. The team includes RNs, LPNs, and Nurse Aides. Which patient is most suitable to assign to the LPN?

Correct Answer is B

Explanation

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A patient has been discharged home following a hospital stay for a hip fracture sustained in a fall. The provider has ordered physical therapy to help the patient regain strength and flexibility.

To which tertiary service is the patient likely to be referred?