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

Encourage the client to engage in vigorous physical activities to strengthen the immune system.

Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting.

Administer live vaccines to boost the client's immune response.

Encourage the client to eat a diet high in fresh fruits and vegetables to improve immune function.

Answer and Explanation

The Correct Answer is B

Explanation: The correct answer is b. Limit the client's exposure to visitors and restrict contact with other clients in the healthcare setting. Clients with immunodeficiency disorders are at a higher risk of infections due to their weakened immune system. Restricting exposure to potential sources of infection, such as visitors and other sick clients, can help minimize the risk of acquiring infections.

Incorrect choices:

a. Engaging in vigorous physical activities may not be appropriate for clients with immunodeficiency disorders, as it can lead to an increased risk of infections and may not strengthen the immune system in these individuals.

c. Live vaccines are contraindicated for clients with immunodeficiency disorders, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

d. While a healthy diet is essential for overall well-being, there is no specific evidence to suggest that a diet high in fresh fruits and vegetables will improve immune function in clients with immunodeficiency disorders. Dietary considerations for these clients may include avoiding certain high-risk foods, but it should be discussed with the healthcare provider based on the specific immunodeficiency disorder.

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Correct Answer is D

Explanation

Explanation: The correct answer is d. Ensuring the client receives prophylactic antibiotics as prescribed. Prophylactic antibiotics are commonly prescribed for clients with immunodeficiency disorders to prevent bacterial infections. It is essential to adhere to the prescribed antibiotic regimen to minimize the risk of infections in these clients.

Incorrect choices:

a. Administering live vaccines is contraindicated in clients with immunodeficiency disorders, as live vaccines can cause severe infections in this population. Only inactivated vaccines are recommended for these clients.

b. Regular physical exercise is beneficial for overall health, but it is not a specific intervention for managing immunodeficiency disorders.

c. Strict isolation precautions may be necessary for clients with severe immunodeficiency or during periods of increased infection risk, but it is not the priority intervention for all clients with immunodeficiency disorders.

A. "I should eat a balanced diet with plenty of fruits and vegetables." B. "I will avoid consuming raw or undercooked meat and eggs." C. "I need to limit my fluid intake to prevent fluid overload." D. "I will avoid unpasteurized dairy products to reduce the risk of infections."

Correct Answer is C

Explanation

Explanation: The correct answer is c. "I need to limit my fluid intake to prevent fluid overload." There is no specific recommendation to limit fluid intake for clients with immunodeficiency disorders unless they have a medical condition that requires fluid restriction. Adequate fluid intake is essential for overall health, including immune function.

Incorrect choices:

a. Eating a balanced diet with plenty of fruits and vegetables is important for overall well-being, including supporting the immune system in clients with immunodeficiency disorders.

b. Avoiding raw or undercooked meat and eggs is recommended to prevent foodborne infections in all individuals, including those with immunodeficiency disorders.

d. Avoiding unpasteurized dairy products is important to reduce the risk of infections caused by foodborne pathogens in all individuals, including those with immunodeficiency disorders.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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

What is the primary cause of immunodeficiency disorders?

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Which of the following statements is correct regarding immunodeficiency disorders?

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

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?

Which type of immunodeficiency disorder is characterized by a deficiency or absence of B cells and the inability to produce antibodies?