Which client should a charge nurse recommend for early discharge in anticipation of multiple client admissions during a disaster?

The client who is 1 day postoperative following a vertebroplasty is the most appropriate choice for early discharge in anticipation of multiple client admissions during a disaster due to a combination of clinical stability and recovery considerations. After a vertebroplasty, which is a minimally invasive procedure aimed at stabilizing vertebral compression fractures, patients typically have a shorter recovery time compared to more invasive surgeries. Since this client is a day post-operative, they may be stable enough to continue recovery at home with proper care and follow-up instructions.

Moreover, compared to the other options, this client is likely to have fewer ongoing medical needs and less risk of complications requiring extended hospital care. The pneumonia patient is still at risk for respiratory complications and may need further observation and treatment. The client who is 2 days postoperative following a hip replacement may still require pain management, mobility assistance, and monitoring for potential complications. The client with congestive heart failure needs continuous monitoring and management of fluid balance, and early discharge could pose a significant risk to their health.

In scenarios like disasters, hospitals often have to prioritize resources, and discharging stable patients who can continue their recovery safely at home is an essential aspect of managing hospital capacity.