A nurse is assisting with selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

A client who has pneumonia and is receiving 100% oxygen via a non rebreather mask.

A client who has ascites and had a paracentesis 4 hr ago.

A client who has a blood glucose level of 380 mg/dL (74 to 106 mg/dL) and is receiving insulin via IV infusion.

A client who is 6 hr postoperative following a hip arthroplasty.

Answer and Explanation

The Correct Answer is B

A.   A client who has pneumonia and is receiving 100% oxygen via a non-rebreather mask: This client requires intensive respiratory care and cannot be safely discharged.
B.   A client who has ascites and had a paracentesis 4 hr ago: This client is stable following a low-risk outpatient procedure and can be safely managed at home.
C.   A client who has a blood glucose level of 380 mg/dL and is receiving insulin via IV infusion: This client has poorly controlled hyperglycemia requiring close monitoring and treatment.
D.   A client who is 6 hr postoperative following a hip arthroplasty: This client requires postoperative monitoring and pain management and is at risk for complications.

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Correct Answer is D

Explanation

A. Weigh the client every other day. Daily weights are essential for monitoring fluid retention in pulmonary edema.
B. Place the client in a supine position. The client should be placed in a high Fowler's position to improve lung expansion and reduce dyspnea.
C. Encourage the client to ambulate three times per day. Clients with pulmonary edema are often too compromised to ambulate frequently. Rest is initially preferred.
D. Report urine output less than 30 mL/hr. Low urine output may indicate decreased renal perfusion, fluid retention, or worsening heart failure, all of which require prompt reporting.

A. Asking a staff member from another unit to complete the evaluation B. Linking the evaluation to predetermined standards C. Focusing primarily on areas that need improvement D. Discussing the evaluation with the nurse manager

Correct Answer is B

Explanation

A. Asking a staff member from another unit to complete the evaluation: Staff from other units may not have direct knowledge of the nurse's work performance.
B. Linking the evaluation to predetermined standards: Using predetermined standards ensures objectivity and consistency in evaluations.
C. Focusing primarily on areas that need improvement: Evaluations should be balanced, recognizing both strengths and areas for improvement.
D. Discussing the evaluation with the nurse manager: The evaluation should first be completed independently before discussing it with a manager if needed.

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A nurse is assisting with selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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