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Question:

A nurse is preparing discharge arrangements for an elderly client with a right ankle fracture. The client is scheduled to go to a skilled nursing and rehabilitation facility. Which of the following interventions are appropriate for providing continuity of care during the facility transition? Select all that apply.
A. secures a client bed at the new facility
B. transfers the complete medical record
C. discards the current medication schedule as it will change at the new facility
D. discusses the transport and transfer information with the client and family
E. schedules follow-up appointment with the surgeon in six weeks

A A, B, D, E
explanation

The nurse serves as the coordinator of care and communicates the care plan with the patient, family, and other appropriate healthcare agencies to ensure proper ongoing care of this patient’s condition. This may include securing a room or bed at the new facility, transferring all medical records, continuing medications and medication schedules, and scheduling follow-up appointments as indicated.

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