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 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 D
Explanation
Explanation: The correct answer is d. Abdominal pain and diarrhea. Abdominal pain and diarrhea are common clinical manifestations of immunodeficiency disorders. The weakened immune system makes the child more susceptible to gastrointestinal infections, leading to these symptoms.
Incorrect choices:
a. Rash and hives are more common clinical manifestations of allergic reactions or immune hypersensitivity disorders, not immunodeficiency disorders.
b. Rapid weight loss may be seen in conditions like malnutrition or metabolic disorders but is not a typical clinical manifestation of immunodeficiency disorders.
c. Excessive thirst and frequent urination are clinical manifestations of diabetes or other endocrine disorders, not immunodeficiency disorders.
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