The nurse is responsible for assisting in the decisions about client room assignments. Which of these possible roommates would be most appropriate for a three year-old child with minimal change nephrotic syndrome?
A. Two year-old with respiratory infection
B. Three year-old fracture whose sibling has chickenpox C. Four year-old with bilateral inguinal hernia repair D. Six year-old with a sickle cell anemia crisis
Four year-old with bilateral inguinal hernia repair-the correct answer is c: four year-old with bilateral inguinal hernia repair.the nurse must know that children with nephrotic syndrome have a higher risk for the development of infections as a result of the steroid therapy which has an immunosuppressant effect. therefore, these children must be protected from sources of possible infection.test-taking tips:notice that options 1 and 2 have infectious situations which would eliminate them as most appropriate roommates for a child with nephrotic syndrome. notice the age of the child in the stem of the question (three-year old). ask yourself: would it be better to place this child with a four-year old or a six-year old? if safety is not an issue, then roommates are better matched by age.