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Nurses' Notes 1340: The client is preparing for discharge after treatment of a pulmonary embolism and a tibial fracture. The orthopedic follow-up visit is scheduled for six days after discharge. The client lives in a third-floor walk-up and must remain non-weight-bearing. A neighbor has agreed to drive the client to scheduled appointments. The client will need oxygen during activity. The oxygen supplier has not received a complete equipment order. The client correctly demonstrates cleansing the healing incision with the prescribed supplies. The medication list includes a newly prescribed oral anticoagulant. The client cannot afford the first anticoagulant prescription because of the copayment. The client points to the clinic number to call for new chest pain, shortness of breath, or bleeding. Physical therapy has reviewed transfer technique. During teach-back, the client plans to use a relative's leftover anticoagulant temporarily. The client identifies two friends who can bring groceries during the first week. The client requests written instructions in large print, and the preference is documented. The client accurately explains that both legs should be checked daily for skin injury. The nurse pauses the discharge process and contacts case management, pharmacy, respiratory therapy, and the prescriber.