There has been a community disaster with multiple victims. Stable clients must be released to make room for the victims. Which clients would the nurse recommend as stable for discharge? Select all that apply.

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The best indication of moving air in a client with asthma is peak flow. The results are categorized as green (≥80% of personal best and good control), yellow (50%-79% of personal best and caution), and red (<50% of personal best - a medical alert). This client is currently in good control. Other findings to note include effortless breathing, no cough or wheeze, and sleeping well all night (Option C). Myasthenia gravis is an autoimmune disease in which antibodies attack acetylcholine receptors. This results in weakness in skeletal muscles, especially in the bulbar region that involves eye movement, swallowing/speaking, and breathing. Such clients become more exhausted as the day progresses. The client can be discharged home as ptosis is an expected finding (Option E). (Option A) Normal Glasgow Coma Scale is 15; a score of 12 indicates impairment requiring further care. (Option B) The varices oozing blood are at risk for rupture and/or increasing ammonia (from the digestion of protein in the blood). This client needs treatment. (Option D) Normal platelet count is 150,000-400,000/mm³ (150-400 × 10⁹/L). A potential complication of heparin therapy is thrombocytopenia. The client is at risk for paradoxical thrombosis (eg, stroke, arterial clots) and, rarely, bleeding. Educational objective: Clients with an acute head injury and a Glasgow Coma Scale of 12, thrombocytopenia while on heparin, or oozing varices in cirrhosis are not stable for discharge.

There Has Been a Community Disaster with Multiple Victims