NCLEX-RN

Category - Care Management

Nina the New Nurse was notified of the admission of a 70-year-old female, admitted for thrombocytopenia related to lymphocytic leukemia. Nina the New Nurse is trying to determine the appropriate room assignment for the client. Which is the best room assignment, and for what reason?
  1. Semi-private room with a 55-year-old roommate with a nurturing nature, encouraging client to express emotion/fears related to diagnosis.
  2. Semi-private room with 25-year-old friendly roommate, encouraging mental stimulation while preventing loneliness and possible boredom.
  3. Private room, to protect other clients or healthcare workers from exposure to possible contagion.
  4. Private room, to protect client from exposure to other clients or healthcare workers.
Explanation
Answer: D - While assigning a room for this client, the nurse must also understand that planning for the protection of this client from exposure to exogenous bacteria due to client’s depressed white blood cell count is a priority. Expecting clients to fulfill the needs of their roommates is never acceptable.
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