The nurse is caring for an elderly client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?
Impaired balance and coordination
Recurrent skin infections
Vision changes and blindness
Hearing loss
The Correct Answer is B
Explanation: The correct answer is b. Recurrent skin infections. Recurrent skin infections are common clinical manifestations of immunodeficiency disorders in the elderly. The weakened immune system makes the skin more susceptible to infections and delays wound healing.
Incorrect choices:
a. Impaired balance and coordination are more commonly associated with neurological disorders or conditions affecting the musculoskeletal system, not immunodeficiency disorders.
c. Vision changes and blindness may be seen in conditions affecting the eyes or the visual system but are not typical clinical manifestations of immunodeficiency disorders.
d. Hearing loss is more commonly associated with conditions affecting the ears or the auditory system and is not a typical clinical manifestation of immunodeficiency disorders.
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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Administer intramuscular immunoglobulins (IG) as ordered. For clients with immunodeficiency disorders, intramuscular immunoglobulins can be prescribed to provide passive immunity and help prevent infections. Immunoglobulins contain antibodies that the client's immune system may be lacking, offering protection against various pathogens.
Incorrect choices:
a. Encouraging the client to receive live vaccines is not appropriate for clients with immunodeficiency disorders. Live vaccines contain live, attenuated viruses or bacteria, which can cause severe infections in individuals with compromised immune systems.
b. Prescribing broad-spectrum antibiotics prophylactically may be used in some cases, but it is not the first-line treatment for immunodeficiency disorders. It is essential to identify the specific pathogens causing infections before initiating antibiotic therapy to avoid antimicrobial resistance.
d. Initiating high-dose corticosteroid therapy is not appropriate for the management of immunodeficiency disorders. Corticosteroids can suppress the immune system further and increase the risk of infections in these clients.
Correct Answer is A
Explanation
Explanation: The correct answer is a. Complete blood count (CBC) with differential. A CBC with differential is a standard diagnostic test used to assess the levels of different blood cells, including white blood cells, which are crucial for the immune system. Abnormalities in the white blood cell count and differential can indicate potential immunodeficiency.
Incorrect choices:
b. A chest X-ray is not a specific diagnostic test for immunodeficiency disorders. It is typically used to assess the condition of the lungs and chest organs.
c. An electrocardiogram (ECG) is a test used to assess the electrical activity of the heart and is not related to the diagnosis of immunodeficiency disorders.
d. A urinalysis is a test used to assess the urine for various abnormalities and is not specific to diagnosing immunodeficiency disorders.
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