A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with a client who has which of the following diagnoses?
Explanation & Rationale
A. Sickle-cell anemia: Clients with sickle-cell anemia who are not actively infected do not pose an infectious risk, making them suitable roommates for an immunocompromised client receiving chemotherapy. Cohorting noninfectious clients together minimizes exposure to pathogens while allowing safe shared accommodations. B. Herpes zoster: Active shingles (herpes zoster) is contagious, particularly to immunocompromised individuals. Sharing a room would place the client with Hodgkin’s disease at high risk for contracting a serious infection, which could lead to severe complications. C. Community-acquired pneumonia: Pneumonia can be caused by bacteria or viruses and is transmissible through respiratory droplets. Placing an immunocompromised client with a person who has pneumonia increases the risk of infection, so it is not appropriate for room sharing. D. Viral meningitis: Viral meningitis is contagious, and an immunocompromised client is highly susceptible to infection. Cohorting with a client who has viral meningitis would put the client with Hodgkin’s disease at significant risk for acquiring the illness.