A nurse is planning to admit a client who has hyperthyroidism. To which of the following rooms should the nurse assign this client?

A. Case manager: A case manager coordinates care for clients with chronic conditions or complex health needs. For a newborn with an atrial septal defect, the case manager can arrange follow-up appointments, provide education to the family about monitoring for symptoms, and ensure access to cardiology services. This referral supports continuity of care and helps prevent complications.

B. Physical therapist: Physical therapy focuses on improving mobility, strength, and motor function. While important for certain conditions, a newborn with an atrial septal defect typically does not require routine physical therapy unless there are additional developmental or musculoskeletal concerns. It is not the primary referral for cardiac follow-up.

C. Occupational therapist: Occupational therapy helps clients develop fine motor skills and perform daily activities. For a newborn with a heart defect, OT is usually not indicated unless developmental delays or feeding difficulties are present. Cardiac management and follow-up are more urgent concerns at discharge.

D. Nurse manager: The nurse manager oversees nursing staff and unit operations rather than providing direct patient follow-up or discharge planning. Referral to the nurse manager does not address the newborn’s ongoing care needs after discharge and is not part of standard interprofessional follow-up for an atrial septal defect.

A. Instruct visitors to stand 0.6 m (2 feet) away from the client: While maintaining distance can reduce radiation exposure, standard precautions for sealed implants typically require visitors to be limited in time and distance, but the priority for staff is proper protective equipment rather than only instructing visitors.

B. Wear a lead apron when providing care for the client: Wearing a lead apron is essential for staff safety when caring for a client with a sealed radiation implant. The apron shields the nurse from radiation exposure, which is the primary protective measure during direct care.

C. Remove all bed linens from the client's room each day: Frequent removal of linens is unnecessary for sealed radiation implants because the radiation source is contained. Standard precautions for linen handling are sufficient unless the linens are visibly contaminated with bodily fluids.

D. Place a dosimeter film badge at the client's bedside: Dosimeter badges are worn by staff to monitor personal radiation exposure, not placed at the client’s bedside. Proper usage involves staff wearing the badge on their body while providing care.