The nurse is determining which room to put the incoming OR admission- a 42 year old woman who underwent an appendectomy for a ruptured appendix. Which would be the most appropriate roommate for the incoming patient?
  1. A seventy-two year old woman recovering from a total hip revision surgery.
  2. A sixty seven year old female with acute exacerbation of COPD and acute renal failure.
  3. A thirty two year old woman recovering from an infected cesarean section delivery, an overflow patient from the post partum unit.
  4. A forty five year old woman with LOC and ETOH withdrawal.
Explanation
Answer: B- The most appropriate roommate is the patient with acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) and Acute Renal Failure (ARF). This patient does not have any infectious disease process that would compromise the post op. Because the nurse considers the whole patient, she would not place the incoming post op patient with option D- who may have loud and disturbing behavior as she recovers from withdrawal.
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