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

"I should eat a balanced diet with plenty of fruits and vegetables."

"I will avoid consuming raw or undercooked meat and eggs."

"I need to limit my fluid intake to prevent fluid overload."

"I will avoid unpasteurized dairy products to reduce the risk of infections."

Answer and Explanation

The Correct Answer is C

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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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.

A. Impaired balance and coordination B. Recurrent skin infections C. Vision changes and blindness D. Hearing loss

Correct Answer is B

Explanation

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

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Naxlex Comprehensive Predictor Exams

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 caring for an elderly client with an immunodeficiency disorder. Which clinical manifestation should the nurse expect to assess in the client?

Correct Answer is B

Explanation

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

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

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

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

The nurse is assisting with a bone marrow aspiration for a client with suspected immunodeficiency disorder. Which information should the nurse provide to the client regarding this procedure?

What is the primary cause of immunodeficiency disorders?

The nurse is caring for an infant suspected of having severe combined immunodeficiency (SCID). Which diagnostic test should the nurse anticipate being prescribed for the infant?

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