The hospital administrator alarmed the entire hospital institution for a disaster drill during the night shift. Which of the following patients would a nurse put first on the list to be discharged in order to make a room available for an admission?
  1. A middle aged patient with a history of being ventilator dependent for the past five years and was admitted with bacterial pneumonia four days ago
  2. A young adult with diabetes mellitus type 2 for over five years and admitted with antibiotic induced diarrhea twelve hours ago
  3. An adult patient with a history of SLE and was admitted with Stevens-Johnson syndrome several hours ago
  4. An adolescent with positive HIV test and admitted for acute cellulites on the left lower leg twenty-four hours ago
Explanation
Answer - A - In order to make a room available for admission, the nurse should put first on the list to be discharged a patient who is middle aged with a history of being ventilator dependent for the past five years and was admitted with bacterial pneumonia four days ago. The best candidate for discharge is one who has a chronic condition and is most familiar with their care. This patient in option A is most likely stable and could continue medication therapy at home.
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