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.
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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Primary immunodeficiency disorders are typically present at birth or during early childhood and are caused by genetic defects that affect the function of the immune system. They are not acquired later in life due to environmental factors.
Incorrect choices:
a. Primary immunodeficiency disorders are not acquired later in life; they are usually genetic and present from birth.
b. Primary immunodeficiency disorders are characterized by a weakened or deficient immune response, not an overactive immune response.
d. Primary immunodeficiency disorders are often not easily treatable with antibiotics and antiviral medications because they result from genetic defects in the immune system.
Correct Answer is A
Explanation
Explanation: The correct answer is a. Complete blood count (CBC) with differential. A CBC with differential is essential for monitoring the client's immune status and treatment response. It provides information about the client's white blood cell count, including different types of white blood cells, such as lymphocytes, which play a crucial role in the immune response.
Incorrect choices:
b. Blood glucose level is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.
c. Liver function tests (LFTs) are important for monitoring liver health but are not directly related to the immune status or treatment response in clients with immunodeficiency disorders.
d. An electrolyte panel is used to assess the balance of electrolytes in the body and is not specifically related to monitoring the immune status or treatment response in clients with immunodeficiency disorders.
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