The charge nurse on the medical surgical unit must assign a room for an immediate post-operative nephrectomy client. Which room assignment is the best option for this client?

Question

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The best option is room 4 with the client who has severe epistaxis and decreased platelet count (normal 150,000-400,000/mm³ [150-400 x 10⁹/L]) as this does not place the immediate post-operative client at increased risk for infection. (Options A, B, and C) The clients in these rooms place the postoperative client at increased risk for infection: Room 1: A client with diabetes mellitus and advanced chronic kidney disease may have infectious complications due to increased susceptibility to infection resulting from an altered immune response and decreased leukocyte function due to hyperglycemia. In addition, hemodialysis increases the risk for infection due to invasive lines and catheters. Room 2: A low CD4⁺ cell count (<500/mm³ [0.5 x 10⁹/L], normal is 500-1,200/mm³ [0.5-1.2 x 10⁹/L]) in a client with chronic HIV infection indicates disease progression. It can also indicate progression of asymptomatic early infections to more advanced symptomatic infections. Room 3: The client with cellulitis and an increased white blood cell count (>11,000/mm³ [11.0 x 10⁹/L]) has an infection. Educational objective: An immediate post-operative client should not be assigned a bed in a room with a client who is contagious or potentially infected as this poses an increased risk for infection.

The Charge Nurse on the Medical Surgical Unit Must Assign