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 D
Explanation
Explanation: The correct answer is d. Ensuring the client receives prophylactic antibiotics as prescribed. Prophylactic antibiotics are commonly prescribed for clients with immunodeficiency disorders to prevent bacterial infections. It is essential to adhere to the prescribed antibiotic regimen to minimize the risk of infections in these clients.
Incorrect choices:
a. Administering live vaccines is contraindicated in clients with immunodeficiency disorders, as live vaccines can cause severe infections in this population. Only inactivated vaccines are recommended for these clients.
b. Regular physical exercise is beneficial for overall health, but it is not a specific intervention for managing immunodeficiency disorders.
c. Strict isolation precautions may be necessary for clients with severe immunodeficiency or during periods of increased infection risk, but it is not the priority intervention for all clients with immunodeficiency disorders.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Frequent and severe infections. Immunodeficiency disorders impair the body's ability to fight infections, leading to recurrent and severe infections. This is a hallmark sign of immunodeficiency.
Incorrect choices:
a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions like attention deficit hyperactivity disorder (ADHD).
b. Increased appetite and weight gain are not specific to immunodeficiency disorders. They may be seen in conditions like hypothyroidism or certain eating disorders.
d. Hypertension and tachycardia are not characteristic clinical manifestations of immunodeficiency disorders. These symptoms may be associated with cardiovascular issues.
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