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."
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 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.
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.
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