A hospital prepares to receive large numbers of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge or transfer to another facility? (Select all that apply.)
a. Older adult in the medical decision unit for evaluation of chest pain
b. Client who had open reduction and internal fixation of a femur fracture 3 days ago
c. Client admitted last night with community-acquired pneumonia
d. Infant who has a fever of unknown origin
e. Client on the medical unit for wound care
ANS: B, E
The client with the femur fracture could be transferred to a rehabilitation facility, and the client on the medical unit for wound care should be transferred home with home health or to a long-term care facility for ongoing wound care. The client in the medical decision unit should be identified for dismissal if diagnostic testing reveals a noncardiac source of chest pain. The newly admitted client with pneumonia would not be a good choice because culture results are not yet available and antibiotics have not been administered long enough. The infant does not have a definitive diagnosis.
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