The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?
Encouraging the client to participate in strenuous physical activities.
Providing a diet high in raw fruits and vegetables to boost the immune system.
Ensuring the client receives antiretroviral therapy (ART) as prescribed.
Allowing the client to interact freely with other clients in the healthcare facility.
The Correct Answer is C
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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Correct Answer is D
Explanation
Explanation: The correct answer is d. Teach the client about the importance of hand hygiene and infection control measures. For clients with immunodeficiency disorders, preventing infections is of utmost importance. Hand hygiene and infection control measures, such as proper handwashing techniques and avoiding contact with sick individuals, can help reduce the risk of acquiring infections.
Incorrect choices:
a. While consuming a diet rich in probiotics may be beneficial for gut health, there is no specific evidence to suggest that it will prevent infections in clients with immunodeficiency disorders.
b. Engaging in regular exercise may have various health benefits, but it may not necessarily boost the immune system in clients with immunodeficiency disorders. In fact, excessive exercise can even increase the risk of infections in these individuals.
c. Live vaccines are contraindicated for clients with immunodeficiency disorders, as they can cause severe infections. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.
Correct Answer is C
Explanation
Explanation: The correct answer is c. Chronic diarrhea. Primary immunodeficiency disorders can affect the gastrointestinal system, leading to chronic diarrhea due to frequent infections and inflammation.
Incorrect choices:
a. Unexplained weight loss is not a specific symptom of primary immunodeficiency disorders. It may be seen in various other medical conditions, such as cancer or metabolic disorders.
b. Recurrent skin rashes are not a characteristic symptom of primary immunodeficiency disorders. Skin rashes may be caused by allergic reactions or dermatological conditions.
d. Difficulty falling asleep is not typically associated with primary immunodeficiency disorders. It may be related to sleep disorders or anxiety.
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