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 A

Explanation

Explanation: The correct answer is a. Severe combined immunodeficiency (SCID). SCID is a severe and rare primary immunodeficiency disorder characterized by the absence or severe impairment of both T and B cells, leading to a profound deficiency in cellular and humoral immunity.

Incorrect choices:

b. X-linked agammaglobulinemia (XLA) primarily affects B-cell function, resulting in a lack of mature B cells and low levels of immunoglobulins, but does not typically involve T-cell deficiency.

c. Wiskott-Aldrich syndrome affects platelet function and immune system regulation, but it is not characterized by a deficiency of both T and B cells.

d. Common variable immunodeficiency (CVID) is characterized by reduced levels of immunoglobulins, particularly IgG and IgA, but it does not typically lead to a complete deficiency of both T and B cells.

A. Unexplained weight loss B. Recurrent skin rashes C. Chronic diarrhea D. Difficulty falling asleep

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

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Naxlex Comprehensive Predictor Exams

Which of the following immunodeficiency disorders is characterized by a deficiency of T and B cells, as well as impaired cellular and humoral immunity?

Correct Answer is A

Explanation

Which of the following clinical manifestations is a common symptom of primary immunodeficiency disorders?

Correct Answer is C

Explanation

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

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

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

What is the primary cause of immunodeficiency disorders?

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

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

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

Which of the following is a potential complication of primary immunodeficiency disorders?