A nursing supervisor in an acute care facility must recommend a client for discharge to make room for a client who was injured during an explosion. Which of the following clients should the nurse recommend for discharge?
Explanation & Rationale
Rationale: A. This option is incorrect because a client with a new diagnosis of diabetes insipidus requires close monitoring of fluid balance, electrolytes, and urine output. Discharging this client early could lead to serious complications and is unsafe. B. This option is incorrect because a client on telemetry for dysrhythmias requires continuous cardiac monitoring and immediate access to interventions if an arrhythmia occurs. Early discharge would pose a significant risk to the client’s safety. C. This option is correct because a client who had a total knee arthroplasty 1 week ago is likely stable, ambulating with assistance or using a walker, and has a lower risk for acute complications. This client can safely be discharged with appropriate home care instructions, physical therapy, and follow-up, making them the most appropriate candidate to free up a bed in an acute care setting. D. This option is incorrect because a client who had a bowel resection 1 day ago is still in the immediate postoperative period and requires close monitoring for complications such as bleeding, infection, or ileus. Discharging this client would be unsafe.