The nurse is caring for a child with severe combined immunodeficiency (SCID). Which precaution should the nurse take to protect the child from infections?

Place the child on contact precautions.

Encourage the child to play with other children to promote socialization.

Administer live attenuated vaccines to boost the child's immune system.

Maintain strict hand hygiene and utilize protective equipment when providing care.

Answer and Explanation

The Correct Answer is D

Explanation: The correct answer is d. Maintain strict hand hygiene and utilize protective equipment when providing care. Children with severe combined immunodeficiency (SCID) have a severely compromised immune system, making them highly susceptible to infections. Strict hand hygiene and the use of protective equipment, such as gloves and masks, are essential in preventing the transmission of infections to the child.

Incorrect choices:

a. Placing the child on contact precautions may not be sufficient to protect them from infections due to their high susceptibility. Additional precautions, such as strict hand hygiene and protective equipment, should be implemented.

b. Encouraging the child to play with other children may increase the risk of exposure to infections. Children with SCID should be protected from contact with potential sources of infection.

c. Live attenuated vaccines are contraindicated for children with SCID, as they can cause severe infections. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Explanation: The correct answer is d. Educating the client on proper hand hygiene. Educating the client on proper hand hygiene is essential to reduce the risk of infections in individuals with immunodeficiency disorders. Frequent handwashing is a simple yet effective way to prevent the transmission of infectious agents.

Incorrect choices:

a. Administering live vaccines is contraindicated for clients with immunodeficiency disorders, as live vaccines contain weakened pathogens that can cause serious infections in this population.

b. Encouraging the client to perform strenuous physical activities is not appropriate for someone with immunodeficiency, as strenuous activities can put additional strain on the immune system and increase the risk of infections.

c. Limiting the client's intake of fluids is not a necessary intervention for immunodeficiency disorders. Adequate fluid intake is generally important for overall health, but it is not directly related to managing immunodeficiency disorders.

A. Complete blood count (CBC) with differential B. Blood glucose level C. Liver function tests (LFTs) D. Electrolyte panel

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a child with severe combined immunodeficiency (SCID). Which precaution should the nurse take to protect the child from infections?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with immunodeficiency disorder. Which of the following interventions is essential for the nurse to implement?

Correct Answer is D

Explanation

The nurse is caring for a client with an immunodeficiency disorder. Which laboratory test is essential for monitoring the client's immune status and treatment response?

Correct Answer is A

Explanation

Which of the following immunodeficiency disorders is characterized by a deficiency of T and B cells, as well as impaired cellular and humoral immunity?

The nurse is caring for a client with an immunodeficiency disorder. Which intervention should the nurse prioritize?

The nurse is caring for a client with immunodeficiency disorder. Which nursing intervention should be included in the care plan?

The nurse is caring for a client with an immunodeficiency disorder. Which nursing intervention is essential to prevent infections in this client?

The nurse is providing education to a client with a primary immunodeficiency disorder. Which statement by the client indicates a need for further teaching?

Which type of immunodeficiency disorder is characterized by a defect in T cell function and is often associated with developmental delays, chronic infections, and autoimmune manifestations?

Which of the following immunodeficiency disorders is characterized by defective T-cell function and is often diagnosed in infancy or early childhood?

How are primary immunodeficiency disorders different from secondary immunodeficiency disorders?