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?

Choice A rationale
Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.
Choice B rationale
Obtaining an EKG reading is the most appropriate initial action when a patient reports a new onset of angina pectoris. An EKG can help determine if the patient is experiencing a myocardial infarction (heart attack), which is a life-threatening condition.
Choice C rationale
While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.
Choice D rationale
Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.

Choice A rationale
An exogenous infection occurs when a pathogen enters a patient’s body from their environment. For example, a healthcare worker can spread the infection due to poor adherence to infection control practices. This is not the case here as the infection is from the client’s own flora.
Choice B rationale
An endogenous infection is caused by the body’s normal flora. These microorganisms may act as opportunistic pathogens when the host is susceptible. In this case, the client’s systemic staphylococci infection originated from their own flora, making it an endogenous infection.
Choice C rationale
A community-acquired infection is one that was present or incubating prior to the patient being admitted to the hospital. Since the infection in this case originated from the client’s own flora and not from the community, this choice is incorrect.
Choice D rationale
A nosocomial infection, also known as a hospital-acquired infection, is an infection that is acquired in a hospital or other healthcare facility. Since the client’s infection originated from their own flora and not from the hospital environment, this choice is incorrect.