The nurse receives shift report for four patients on a medic…

The nurse receives shift report for four patients on a medical-surgical unit:F.T., 70-year-old man with COPD, admitted 2 days ago with bilateral lower lobe pneumonia. Receiving IV antibiotics.Vital signs: 150/70, HR 94, RR 24, Temp 99.4°F (37.4°C), SpO₂ 96% on 3 L O₂ via nasal cannula M.R., 69-year-old man, 6 days postoperative total laryngectomy with tracheostomy, developed postoperative pneumonia. Transferred from ICU at 0200. Awake, alert, slightly confused.Vital signs: 168/94, HR 84, RR 22, SpO₂ 96% on O₂ via tracheal mask J.H., 52-year-old man with right lower lobe pneumonia and small cell lung cancer. Intermittently confused and anxious.Vital signs: 118/62, HR 106, RR 28, Temp 102.6°F (39.2°C), SpO₂ 92% on 4 L O₂ via nasal cannulaH.M., 68-year-old woman admitted 6 days ago with COPD exacerbation. Being discharged today. On oral prednisone, ipratropium, starting Advair Diskus and O₂ therapy at home. Vital signs stable.Which client should the nurse assess first?

The nurse manager is assigning rooms on a medical-surgical u…

The nurse manager is assigning rooms on a medical-surgical unit during a high census. Only one private room is available. Two clients need placement:Client A: Influenza, droplet precautions, stable, no other infectionsClient B: Influenza, droplet precautions, stable, same strain as Client AThe nurse manager plans to cohort these clients in the same room due to limited private room.Which action by the nurse manager demonstrates safe and appropriate decision-making?