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 another client who has which of the following diagnoses?

Clients receiving chemotherapy for Hodgkin’s lymphoma are highly immunocompromised due to bone marrow suppression, particularly neutropenia, which places them at high risk for infection. When a private room is unavailable, infection control principles guide appropriate roommate selection to minimize exposure to infectious pathogens. The safest roommate is one who does not have an infectious disease or transmissible condition. This reduces the risk of opportunistic infections in the immunosuppressed client. Rationale: A. Community-acquired pneumonia is an active respiratory infection that can be transmitted via droplets, making it unsafe for a severely immunocompromised client. Exposure could lead to severe or even life-threatening infection due to reduced immune defenses from chemotherapy. Therefore, this client should not be placed in the same room. B. Paget’s disease is a noninfectious chronic bone disorder characterized by abnormal bone remodeling. It is not caused by pathogens and poses no risk of transmission to others. This is the safest option for roommate placement with an immunocompromised oncology client. C. Herpes zoster is caused by reactivation of the varicella-zoster virus and is highly contagious through direct contact with lesions and airborne transmission in disseminated cases. Immunocompromised clients are at high risk for severe infection if exposed. This condition requires isolation precautions, making it inappropriate for shared room placement. D. Clostridioides difficile colitis is a highly contagious gastrointestinal infection transmitted via spores through the fecal-oral route and contaminated surfaces. Immunocompromised clients are especially vulnerable to severe complications. Strict contact precautions are required, so sharing a room is contraindicated.