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With an alert of an internal disaster and the need for beds, the charge nurse is asked to list clients who are potential discharges within the next hour. Which client should the charge nurse select?

A) An elderly client who has had type 2 diabetes for over 20 years, admitted with diabetic ketoacidosis 24 hours ago
B) An adolescent admitted the prior night with Tylenol intoxication
C) A middle aged client with an internal automatic defibrillator and complaints of "passing out at unknown times" admitted yesterday
D) A school age child diagnosed with suspected bacterial meningitis and was admitted at the change of shifts

User Hames
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Final answer:

B) An adolescent admitted the prior night with Tylenol intoxication The charge nurse should select the adolescent admitted with Tylenol intoxication for potential discharge as their condition, if treated and stabilized, is likely to be less acute and more predictable in recovery than the other more critical patients mentioned.

Step-by-step explanation:

When selecting a client who is a potential discharge in a situation requiring bed availability due to an internal disaster, the charge nurse should consider the current stability and potential risks associated with each patient's condition. Given the scenarios provided:An elderly client with type 2 diabetes admitted for diabetic ketoacidosis 24 hours ago would still likely be under close monitoring and treatment for stabilization.An adolescent admitted for Tylenol intoxication would require assessment for liver function and potential ongoing treatment.A middle-aged client with an internal automatic defibrillator and recent syncope (passing out) would typically require further assessment and observation to ensure there are no underlying issues that need immediate attention.

A school-age child diagnosed with suspected bacterial meningitis represents an acute case that requires immediate and intensive care due to the seriousness and infectious nature of the illness.Therefore, the adolescent with Tylenol intoxication might be the most suitable for discharge if they have been adequately treated and show signs of recovery, as their condition is likely to be less acute and more predictable in recovery than the other patients listed, assuming no complications such as liver damage.

User Tarek Adam
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