Korytkowski, M. T., Muniyappa, R., Antinori-Lent, K., Donihi, A. C.,
Scenario: Q2: The charge nurse of a medical-surgical hospital unit has been informed that the hospital grounds are In order, place the client treatment/disorder/situation flooded due to continued storms. Clients will need to that will be easiest to evacuate to most difficult to be transferred to another hospital via a motorized evacuate. boat. Ability to Evacuate Clients: Client Findings (from Easiest to Client A: 62-year-old male, 2 days post-op knee Most Difficult) replacement. Receiving oxycodone PO every 4 hours for pain. History of hypertension. Current BP: 132/88 1.) Suspension traction in use. mm Hg. 2.) Alzheimer disease diagnosis. Client B: 48-year-old female diagnosed with multiple 3.) IV fluids infusing. sclerosis 8 years ago. Fell and broke L wrist yesterday. Was scheduled to get surgical repair of wrist later 4.) Arm splint in place. today. Fiberglass splint in place. Client reports pain is “8 out of 10.” Client C: 21-year-old male diagnosed with sickle cell anemia. Hospitalized with diagnosis of sickle cell crisis. Receiving IV fluids and IV morphine sulfate. Capillary refill brisk. Client D: 56-year-old male diagnosed with stage IV liver cancer. Receiving IV fluids and cisplatin via central venous catheter. Client E: 32-year-old female with a closed head injury as a result of a motor vehicle accident 2 days ago. Alert, oriented, ambulatory, and denies pain. Client F: 18-year-old female 1 day post-op for multiple fractures in R leg. Repaired with multiple pins. Client
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