A hospital is receiving large numbers of casualties from a disaster. Which clients does the supervisor identify as appropriate for discharge or transfer to another facility? (Select all that ap-ply.)
a. Client who had open reduction and inter-nal fixation of a femur fracture 3 days ago
b. Client who had a colostomy 4 days ago and whose daughter is a registered nurse
c. Client admitted last night with communi-ty-acquired pneumonia
d. Infant admitted 2 days ago for fever of unknown origin
e. Client in the medical decision unit for evaluation of chest pain
A, B
The client with the femur fracture could be transferred to a rehabilitation facility and the RN could provide care and teaching to her father. 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. Also, the infant has not been in the hospital long enough for cultures to return for a definitive diagnosis. The client in the medical decision unit should be identified for dismissal if diagnostic testing reveals a noncardiac source of chest pain.
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