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.

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Correct Answer is C

Explanation

Explanation: The correct answer is c. Failure to thrive. SCID is a severe form of immunodeficiency that affects multiple components of the immune system, leading to recurrent and severe infections and failure to thrive in affected infants.

Incorrect choices:

a. Recurrent ear infections are more commonly seen in other types of immunodeficiency disorders, such as selective IgA deficiency.

b. Chronic fatigue and lethargy may be seen in various medical conditions but are not specific to SCID.

d. Persistent joint pain is not a characteristic symptom of SCID. It may be associated with other autoimmune or inflammatory conditions.

A. "Practice proper hand hygiene and infection prevention measures." B. "Engage in intense physical activities to boost your immune system." C. "Limit your fluid intake to avoid fluid overload." D. "Consume a diet rich in raw and undercooked meat for added nutrients."

Correct Answer is A

Explanation

Explanation: The correct answer is a. "Practice proper hand hygiene and infection prevention measures." Proper hand hygiene, including regular handwashing with soap and water, is essential for clients with immunodeficiency disorders to reduce the risk of acquiring infections. It is one of the most effective ways to prevent the transmission of pathogens.

Incorrect choices:

b. Engaging in intense physical activities is not recommended for clients with immunodeficiency disorders, as it can put additional stress on the immune system. Moderate, regular exercise is beneficial for overall health, but extreme physical activities may be harmful to the immune system.

c. There is no need for clients with immunodeficiency disorders to limit their fluid intake unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health and immune function.

d. Consuming a diet rich in raw and undercooked meat is not recommended for clients with immunodeficiency disorders, as it can increase the risk of foodborne infections. It is important for these clients to follow food safety guidelines and avoid consuming raw or undercooked meat.

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

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Naxlex Comprehensive Predictor Exams

Which of the following clinical manifestations is often observed in individuals with severe combined immunodeficiency (SCID)?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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Which of the following is a common clinical manifestation of immunodeficiency disorders?

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Which of the following statements is correct regarding immunodeficiency disorders?

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The nurse is caring for a client with an immunodeficiency disorder. Which precaution should the nurse take when caring for the client?

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The nurse is educating a client with an immunodeficiency disorder about infection prevention. Which statement by the client indicates a need for further teaching?