Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse’s hospital has initiated its disaster response plan due to a mass casualty disaster. Nina the New Nurse must determine which client is most suitable for early discharge. Which of these clients should Nina the New Nurse add to the discharge list?
  1. 48-year-old male, dialysis dependent for 9 years, admitted for bacterial pneumonia five days ago.
  2. 74-year-old female, history of HTN and lupus, admitted this morning for Stevens-Johnson syndrome.
  3. 24-year-old female, history of IV drug use, Hepatitis C +, admitted for acute cellulitis to left arm two days ago.
  4. 50-year-old male, history of NIDDM for ten years, admitted for treatment of antibiotic induced diarrhea one day ago.
Explanation
Answer: A - Clients with chronic conditions generally are comfortable and knowledgeable in managing their condition at home. The 48-year-old client could continue oral antibiotics at home. He has successfully managed his chronic condition for seven years, and is the most stable of the four clients for discharge.
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