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 C

Explanation

Explanation: The correct answer is c. "It's essential for me to receive all recommended vaccines, including live vaccines." Clients with primary immunodeficiency disorders should not receive live vaccines, as they can cause severe infections in this population. Only inactivated vaccines are recommended to avoid the risk of vaccine-associated infections.

Incorrect choices:

a. Avoiding contact with sick individuals is crucial for clients with primary immunodeficiency disorders to minimize the risk of acquiring infections.

b. Taking prescribed immunoglobulin therapy as scheduled is an important treatment for clients with primary immunodeficiency disorders to boost their immune response and prevent infections.

d. Reporting any signs of infection or illness promptly to the healthcare provider is essential for early detection and treatment of infections in clients with primary immunodeficiency disorders.

A. X-linked agammaglobulinemia B. DiGeorge syndrome C. Wiskott-Aldrich syndrome D. Severe combined immunodeficiency (SCID)

Correct Answer is B

Explanation

Explanation: The correct answer is b. DiGeorge syndrome. This disorder is caused by a deletion in chromosome 22, resulting in the underdevelopment of the thymus and parathyroid glands. It leads to impaired T cell function and is associated with developmental delays, chronic infections, and autoimmune problems.

Incorrect choices:

a. X-linked agammaglobulinemia is a primary immunodeficiency disorder that primarily affects B cell function, leading to a deficiency of immunoglobulins (antibodies).

c. Wiskott-Aldrich syndrome is an X-linked recessive disorder characterized by a triad of symptoms: eczema, thrombocytopenia (low platelet count), and immunodeficiency.

d. Severe combined immunodeficiency (SCID) is a group of rare disorders characterized by 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 immunodeficiency disorder. Which nursing intervention should be included in the care plan?

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Naxlex Comprehensive Predictor Exams

The nurse is providing education to a client with a primary immunodeficiency disorder. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

The nurse is caring for a client with an immunodeficiency disorder. Which intervention is appropriate for the management and treatment of this condition?

Which of the following statements is correct regarding immunodeficiency disorders?

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

Which of the following is a primary immunodeficiency disorder?

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

Which of the following clinical manifestations is commonly seen in individuals with immunodeficiency disorders?

The nurse is caring for a client with an immunodeficiency disorder. Which laboratory test is essential for monitoring the client's immune status and treatment response?

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