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.

Answer and Explanation

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 C

Explanation

Explanation: The correct answer is c. Limit visitors to family members only. Clients with immunodeficiency disorders are at increased risk of infections, and limiting visitors to family members only can help reduce the risk of exposure to infectious agents. It is essential to create a controlled and safe environment for these clients.

Incorrect choices:

a. Encouraging the client to interact with other clients in the unit can increase the risk of exposure to infections and 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. Providing the client with a private room with negative pressure is not necessary for every client with immunodeficiency disorder. Negative pressure rooms are used for clients with specific airborne infectious diseases, and the decision to use such rooms is based on the specific circumstances of each client.

A. Selective IgA deficiency B. DiGeorge syndrome C. X-linked agammaglobulinemia D. Severe combined immunodeficiency (SCID)

Correct Answer is C

Explanation

Explanation: The correct answer is c. X-linked agammaglobulinemia. This disorder primarily affects males and is caused by mutations in the BTK gene, resulting in a lack of mature B cells and immunoglobulins.

Incorrect choices:

a. Selective IgA deficiency is a primary immunodeficiency disorder characterized by a deficiency of immunoglobulin A (IgA), and it can affect both males and females.

b. DiGeorge syndrome is caused by a chromosome 22 deletion and is not inherited in an X-linked recessive pattern.

d. Severe combined immunodeficiency (SCID) is a group of disorders that can be inherited in various patterns, including autosomal recessive, autosomal dominant, or X-linked recessive. SCID affects both males and females and results in a severe deficiency of T cells, B cells, and natural killer (NK) cells.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with immunodeficiency disorder. Which of the following interventions is important to include in the client's plan of care?

Correct Answer is C

Explanation

Which type of immunodeficiency disorder is inherited in an X-linked recessive pattern and primarily affects males, leading to the absence of mature B cells and immunoglobulins?

Correct Answer is C

Explanation

The nurse is reviewing the diagnostic evaluation for a client with suspected immunodeficiency disorder. Which finding would be consistent with a potential diagnosis of severe combined immunodeficiency (SCID)?

Which type of immunodeficiency disorder is characterized by a deficiency in immunoglobulin A (Ig

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

The nurse is providing education to a client with an immunodeficiency disorder. Which instruction is essential for the client's self-management and treatment?

Which type of immunodeficiency disorder is characterized by a lack of mature B cells and an inability to produce antibodies?

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

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 statements is true regarding immunodeficiency disorders?