A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?

A. This would not be appropriate as both scabies and pediculosis capitis are contagious skin infestations. Placing these clients together increases the risk of cross-contamination.
B. Positive-pressure isolation rooms are used for clients with compromised immune systems to protect them from pathogens. This is not necessary for a client with scabies.
C. A private room is the most appropriate choice for a client with scabies to prevent the spread of the infestation.
D. Negative-pressure isolation rooms are used for clients with airborne diseases to prevent the spread of pathogens. This is not necessary for a client with scabies.

A. While assisting others is an important aspect of nursing care, it generally does not directly reflect the acuity of clients. Assisting colleagues might involve helping with tasks, offering support, or collaborating on care, but it is more related to teamwork and overall unit dynamics rather than directly indicating the complexity or intensity of care needed by individual clients.

B. Medication administration is a significant factor in determining client acuity. The complexity and frequency of medications, the need for monitoring and adjustments, and the administration of high-risk medications (e.g., anticoagulants, insulin) all contribute to the overall acuity level. High acuity clients often require more complex medication management, which demands more time and attention from nursing staff.
C. Meal breaks are a necessary part of a nurse’s schedule but are not related to client acuity. Meal breaks are periods of rest and are essential for maintaining the nurse’s well-being and productivity. However, they do not affect the level of care required by clients or the determination of client acuity.
D. Charting is a crucial component of nursing care that reflects the time spent documenting client information, assessments, and care provided. While charting is essential for legal documentation, communication, and continuity of care, it is not a direct indicator of client acuity.