The nurse is caring for a client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?

Hyperactivity and restlessness

Persistent fever and night sweats

Weight gain and increased appetite

Elevated blood pressure

Answer and Explanation

The Correct Answer is B

Explanation: The correct answer is b. Persistent fever and night sweats. Fever and night sweats are common clinical manifestations of immunodeficiency disorders. The immune system's inability to fight off infections can lead to recurrent fevers and night sweats as the body tries to combat pathogens.

Incorrect choices:

a. Hyperactivity and restlessness are not typical clinical manifestations of immunodeficiency disorders. These symptoms are more commonly associated with conditions affecting the central nervous system.

c. Weight gain and increased appetite are not typical clinical manifestations of immunodeficiency disorders. They may be seen in conditions like hypothyroidism or hormonal imbalances.

d. Elevated blood pressure is not a common clinical manifestation of immunodeficiency disorders. It may be seen in conditions like hypertension or cardiovascular disorders.

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Correct Answer is C

Explanation

Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.

Incorrect choices:

a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which is not appropriate for someone with immunodeficiency.

b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.

d. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing infections in these clients.

A. Encouraging the client to participate in strenuous physical activities. B. Providing a diet high in raw fruits and vegetables to boost the immune system. C. Ensuring the client receives antiretroviral therapy (ART) as prescribed. D. Allowing the client to interact freely with other clients in the healthcare facility.

Correct Answer is C

Explanation

Explanation: The correct answer is c. Ensuring the client receives antiretroviral therapy (ART) as prescribed. ART is the mainstay of treatment for HIV infection and is essential for suppressing viral replication, improving immune function, and preventing disease progression.

Incorrect choices:

a. Encouraging strenuous physical activities is not recommended for clients with HIV infection, as it may place additional stress on the immune system and exacerbate symptoms.

b. While a balanced diet is essential for overall health, there is no specific evidence that a diet high in raw fruits and vegetables alone can boost the immune system sufficiently to manage HIV infection.

d. Clients with HIV infection should follow infection control precautions to prevent the transmission of the virus to others. Interacting freely with other clients may put them and others at risk of infection transmission.

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The nurse is caring for a client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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