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Question ⬇

Physiological Integrity

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29. Which client can be safely discharged to make room for clients suffering from a salmonella outbreak from a local food chain?

Choices

Choices ⬆ ⬇

1. An 18-year-old diagnosed 1 day ago with type 1 diabetes, who lives in the college dormitory.

2. A 61-year-old with osteoarthritis who lives in a nursing home.

3. A client who is 48 hours post-MI, with a WBC of 9,000/mm3 and a CK-MB of 25 ng/mL.

4. A 70-year-old man with anemia and a Hct of 39% and O2 saturation of 90%.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Choose the client who is more stable and does not require acute care.

Content Area: Adult Health, Triage; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Establishing Priorities

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Rationale ⬆

Physiological Integrity

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2.  

Answer 1 is incorrect because the stability of the client's blood sugar is a concern. Also the client needs observation as insulin is being regulated. Answer 2 is correct because the older adult client has a chronic problem and would be supervised in the long-term care facility. Answer 3 is incorrect because a client who is post-MI is at risk for possible arrhythmias and requires continuous monitoring. Answer 4 is incorrect because the client's laboratory values are abnormal, and the client may be experiencing fatigue and weakness from the anemia.

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