Which client should she assign to the bed at the end of the hall, away from the nurses' station?
A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor.
A. A 24-year-old client with unstable hyperthyroidism with sinus tachycardia B. A 38-year-old client with mitral valve prolapse in sinus rhythm who is newly diagnosed with diabetes C. A 48-year-old client in sinus rhythm transferring from intensive care unit 3 days after coronary artery bypass grafting (CABG) D. An 80-year-old client with sinus tachycardia who is confused and agitated 2 days after a prostatectomy
Option A is correct - A 24 year old client with unstable hyperthyroidism with sinus tachycardia should be assigned a bed at the end of the hall. This is because a client with unstable hyperthyroidism is most likely irritable and will not like to be disturbed, is best for such client to be assigned a bed at the end of the hall.
The client with mitral valve prolapse with newly diagnosed diabetes should be close to the nurses because the glucose level must be monitored on a regular basis.
The client transferred from intensive care unit and the aged man with sinus tachycardia that is confused and agitated after prostatectomy should also be close to the nurses because they need to be closely monitored.
A 24-year-old client with unstable hyperthyroidism with sinus tachycardia-rationale: the client with hyperthyroidism is probably irritable and anxious and needs uninterrupted rest. the nurse should assign him to a quiet room away from the noise at the nurses station. the client who had a cabg is most likely to develop an arrhythmia on his third postoperative day. the unstable client with diabetes mellitus could experience hypoglycemia or hyperglycemia and requires frequent monitoring of blood glucose levels. the elderly male is confused and agitated. the nurse should assign these three clients to beds as close to the nurses station as possible.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1464.