A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?

I might experience harmless white patches in my mouth.

I will expect to have a mild, occasional fever.

I will avoid people who have just received a live vaccine.

I will limit the use of skin cream to once a week.

Answer and Explanation

The Correct Answer is C

Choice A reason:

The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.

Choice B reason:

Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.

Choice C reason:

Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.

Choice D reason:

Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.

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Correct Answer is A

Explanation

Choice A reason: Weigh the client daily is important because chlorpromazine can cause weight gain as a side effect. Regular monitoring of the client’s weight helps in managing and mitigating this potential adverse effect.

Choice B reason: Monitor the client for signs of bleeding is not typically necessary for clients taking chlorpromazine. This medication does not commonly cause bleeding issues. Monitoring for bleeding would be more relevant for clients on anticoagulants or medications that affect platelet function.

Choice C reason: Monitor the client’s respirations every 4 hours is not specifically required for clients on chlorpromazine. While respiratory depression can be a concern with some medications, it is not a common side effect of chlorpromazine.

Choice D reason: Administer an antacid with the medication to decrease nausea is not recommended. Antacids can interfere with the absorption of chlorpromazine, reducing its effectiveness. If the client experiences nausea, other antiemetic strategies should be considered.

B. Testing new nurses for exposure to tuberculosis. C. Providing treatment for clients who have chronic obstructive pulmonary disease. D. Performing screening for sexually transmitted infections. E. Administering influenza immunizations at a local health fair.

Correct Answer is C

Explanation

Choice A reason: Testing new nurses for exposure to tuberculosis

Testing new nurses for exposure to tuberculosis is an example of secondary prevention. Secondary prevention aims to detect and treat diseases early, often before symptoms are present, to minimize serious consequences. This activity involves screening and early detection, which are hallmarks of secondary prevention.

Choice B reason: Providing treatment for clients who have chronic obstructive pulmonary disease

Providing treatment for clients who have chronic obstructive pulmonary disease (COPD) is an example of tertiary prevention. Tertiary prevention focuses on managing existing diseases to prevent complications, reduce disability, and improve quality of life. This includes ongoing treatment and rehabilitation efforts to manage chronic conditions effectively.

Choice C reason: Performing screening for sexually transmitted infections

Performing screening for sexually transmitted infections (STIs) is another example of secondary prevention. Screening programs aim to detect diseases early, often before symptoms appear, to provide timely treatment and prevent further spread. This activity is crucial for early intervention and control of infectious diseases.

Choice D reason: Administering influenza immunizations at a local health fair

Administering influenza immunizations is an example of primary prevention. Primary prevention aims to prevent diseases from occurring in the first place through measures such as vaccinations, health education, and lifestyle modifications. Immunizations are a key component of primary prevention strategies.

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A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?

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