A nurse is caring for a client with immunodeficiency disorder. Which of the following nursing considerations is appropriate for this client?
Encourage the client to participate in crowded social gatherings.
Administer live vaccines to boost the immune response.
Implement strict infection control measures.
Encourage the client to consume a diet high in fresh fruits and vegetables.
The Correct Answer is C
Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.
Incorrect choices:
a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which is not appropriate for someone with immunodeficiency.
b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.
d. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing infections in these clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Explanation: The correct answer is a. Wear a mask when entering the client's room. Wearing a mask when entering the client's room is a standard precaution that can help prevent the transmission of infectious agents, especially for clients with immunodeficiency disorders who are at a higher risk of infections.
Incorrect choices:
b. Using a sterile dressing change technique for all wound care may not be necessary for all clients with immunodeficiency disorders. It is essential to assess the client's specific condition and wound characteristics to determine the appropriate dressing change technique.
c. Encouraging the client to wear a mask at all times may not be feasible or necessary, as masks are typically used to prevent the transmission of infections from the client to others, not the other way around.
d. Placing the client on strict isolation precautions may not be necessary for all clients with immunodeficiency disorders. The appropriate level of isolation precautions should be determined based on the client's specific condition and risk factors for infections.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Frequent and severe infections. One of the hallmark features of immunodeficiency disorders is an increased susceptibility to infections. Individuals with immunodeficiencies may experience frequent and severe infections, including bacterial, viral, and fungal infections.
Incorrect choices:
a. Excessive inflammation at the site of infection is not a common clinical manifestation of immunodeficiency disorders. Immunodeficiencies are characterized by a weakened immune response, which may result in a reduced inflammatory response to infections.
b. Hyperactive immune response to allergens is seen in allergies and autoimmune disorders, not immunodeficiency disorders.
d. Immunodeficiency disorders are characterized by a lack or dysfunction of specific immune components, such as B cells or T cells, leading to a decreased production of antibodies, not increased.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.