A nurse is 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 ascites and had a paracentesis 4 hr ago

A client who is 6 hr postoperative following a hip arthroplasty

A client who has a blood glucose level of 380 mg/dL and is receiving insulin via IV infusion

A client who has pneumonia and is receiving 100% oxygen via a nonrebreather mask

Answer and Explanation

The Correct Answer is A

This client has undergone a paracentesis for ascites, and since it was done 4 hours ago, they are likely stable and can be considered for discharge.

The client who is 6 hours postoperative following a hip arthroplasty may still require close monitoring and postoperative care. Discharging a postoperative client too early could lead to complications.

The client with a blood glucose level of 380 mg/dL receiving insulin via IV infusion requires ongoing monitoring and management of their diabetes. Discharging this client during an external disaster may not be appropriate due to the need for continued medical intervention.

The client with pneumonia receiving 100% oxygen via a nonrebreather mask likely requires continued medical attention and monitoring. Discharging a client with pneumonia who requires high-flow oxygen can pose risks to their respiratory status.

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Correct Answer is B

Explanation

A. Incentive spirometer:

An incentive spirometer is used to encourage deep breathing and prevent respiratory complications, but it is not specifically indicated for the management of sleep apnea.

B. Continuous positive airway pressure (CPAP) machine.

The description of the client stopping breathing for 30-second intervals while sleeping at night is suggestive of sleep apnea. A Continuous Positive Airway Pressure (CPAP) machine is commonly used for the management of sleep apnea. It delivers a continuous stream of air to keep the airway open, preventing pauses in breathing during sleep.

C. Yankauer suction equipment:

Yankauer suction equipment is used for oral suctioning and is not related to addressing the breathing pauses associated with sleep apnea.

D. Nebulizer:

A nebulizer is used to administer inhaled medications, typically for respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD). It is not the primary equipment for addressing the respiratory pauses seen in sleep apnea.

A. A client who has schizophrenia and exhibits apathy B. A client who has an anxiety disorder and appears restless C. A client who has major depressive disorder and reports hopelessness D. A client who has bipolar disorder and exhibits provocative behavior

Correct Answer is C

Explanation

A. A client with schizophrenia exhibiting apathy may require attention, but it may not be an immediate priority unless there are signs of deterioration or safety concerns.

B. A client with an anxiety disorder appearing restless may be experiencing distress, but it is not necessarily indicative of an immediate safety or crisis situation.

C. A client with major depressive disorder reporting hopelessness raises significant concern, as it may indicate an increased risk of self-harm or suicide. Clients expressing hopelessness should be assessed promptly to determine the level of risk and implement appropriate interventions.

D. A client with bipolar disorder exhibiting provocative behavior may pose a potential risk, but the level of urgency is typically higher for a client expressing hopelessness and depressive

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

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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