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    ATI RN Comprehensive Per 2023 Proctored Exam

    A charge nurse on a medical-surgical unit is anticipating an emergency response plan following an external disaster in the community. Which of the following current clients should the nurse recommend for early discharge?

    Explanation & Rationale

    Choice A reason: A client with a sealed radiation implant requires strict precautions and monitoring to prevent radiation exposure to others. Early discharge is unsafe due to ongoing treatment needs, so this client is not suitable, making this incorrect. Choice B reason: A COPD client with a respiratory rate of 24 breaths/min indicates potential instability, requiring monitoring for exacerbation. Early discharge risks decompensation without ensured stability, so this client is not appropriate, making this incorrect. Choice C reason: A client receiving heparin for DVT needs continuous anticoagulation and monitoring to prevent embolism. Discharging early risks clotting complications, so this client requires ongoing hospital care, making this incorrect for early discharge. Choice D reason: A client 1 day post-cholecystectomy, if stable, is often ready for discharge, as this surgery is routine with quick recovery. Freeing this bed supports disaster response, aligning with triage principles, making this the correct choice.

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