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. While a severe migraine headache is certainly uncomfortable and may require medication and observation, it does not typically necessitate constant monitoring. The client might benefit from a quieter room and can often be managed effectively with scheduled visits by nursing staff. Therefore, this client does not necessarily need to be closest to the nurses' station.
B. A client with a suspected diagnosis of TB should be placed in a negative-pressure isolation room to prevent the spread of airborne pathogens. The proximity to the nurses' station is less critical for infection control purposes. Proper isolation procedures and equipment are more important for managing TB.
C. A client with a head injury and periods of confusion is at risk for complications such as falls, disorientation, or worsening of their condition. This client requires close monitoring to ensure their safety and to promptly address any changes in their condition. Assigning this client to a room closest to the nurses' station ensures that the staff can frequently observe and quickly respond to any potential issues.

D. A client on continuous ECG monitoring requires regular assessment of their heart rhythm and immediate intervention if there are any abnormalities. While close monitoring is needed, this client’s condition is managed with electronic equipment that can alert staff to significant changes, so proximity to the nurses' station is less critical compared to more acute or unpredictable conditions.

A. This ethical principle directly addresses the idea of doing no harm. It is a fundamental obligation of healthcare professionals to protect patients from injury.
B. While related to doing good, beneficence focuses on actively promoting the well-being of patients. While important, it doesn't specifically address the concept of avoiding harm.
C. Fidelity refers to faithfulness and keeping promises. It is important in building trust but doesn't directly address the prevention of harm.
D. Justice is about fairness and equality in healthcare. While important, it doesn't specifically address the prevention of harm to an individual patient.