The nurse is assisting with a bone marrow aspiration for a client with suspected immunodeficiency disorder. Which information should the nurse provide to the client regarding this procedure?
The procedure will assess the function of the client's immune system.
The procedure involves removing a sample of lymph nodes for examination.
The client will receive general anesthesia during the procedure.
The procedure is a blood test to measure the level of circulating antibodies.
The Correct Answer is A
Explanation: The correct answer is a. The procedure will assess the function of the client's immune system. A bone marrow aspiration is a diagnostic procedure that involves extracting a sample of bone marrow to evaluate the production and function of blood cells, including immune cells.
Incorrect choices:
b. A bone marrow aspiration does not involve removing lymph nodes. It is a procedure specifically focused on obtaining a bone marrow sample.
c. General anesthesia is not typically used for a bone marrow aspiration. Instead, local anesthesia is administered to numb the area around the bone marrow site.
d. A bone marrow aspiration is not a blood test to measure circulating antibodies. It is used to evaluate the bone marrow's cellular components, not circulating antibodies.
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Correct Answer is C
Explanation
Explanation: The correct answer is c. "It's essential for me to receive all recommended vaccines, including live vaccines." Clients with primary immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
Incorrect choices:
a. Avoiding contact with sick individuals is crucial for clients with primary immunodeficiency disorders to minimize the risk of acquiring infections.
b. Taking prescribed immunoglobulin therapy as scheduled is an important treatment for clients with primary immunodeficiency disorders to boost their immune response and prevent infections.
d. Reporting any signs of infection or illness promptly to the healthcare provider is essential for early detection and treatment of infections in clients with primary immunodeficiency disorders.
Correct Answer is A
Explanation
Explanation: The correct answer is a. Complete blood count (CBC) with differential. A CBC with differential is a standard diagnostic test used to assess the levels of different blood cells, including white blood cells, which are crucial for the immune system. Abnormalities in the white blood cell count and differential can indicate potential immunodeficiency.
Incorrect choices:
b. A chest X-ray is not a specific diagnostic test for immunodeficiency disorders. It is typically used to assess the condition of the lungs and chest organs.
c. An electrocardiogram (ECG) is a test used to assess the electrical activity of the heart and is not related to the diagnosis of immunodeficiency disorders.
d. A urinalysis is a test used to assess the urine for various abnormalities and is not specific to diagnosing immunodeficiency disorders.
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