A nurse is caring for a client with immunodeficiency disorder. Which of the following nursing considerations is appropriate for this client?
Encourage the client to participate in crowded social gatherings.
Administer live vaccines to boost the immune response.
Implement strict infection control measures.
Encourage the client to consume a diet high in fresh fruits and vegetables.
The Correct Answer is C
Explanation: The correct answer is c. Implement strict infection control measures. Clients with immunodeficiency disorders have a weakened immune system and are more susceptible to infections. Implementing strict infection control measures, such as hand hygiene, using personal protective equipment, and limiting exposure to potential sources of infection, can help prevent the spread of pathogens and protect the client from infections.
Incorrect choices:
a. Encouraging the client to participate in crowded social gatherings can put the client at risk of exposure to infectious agents, which is not appropriate for someone with immunodeficiency.
b. Live vaccines contain weakened pathogens and are contraindicated for clients with immunodeficiency disorders, as they can cause serious infections in this population.
d. While a diet high in fresh fruits and vegetables is generally beneficial for overall health, it does not specifically address the increased risk of infections in clients with immunodeficiency disorders. Strict infection control measures are more relevant to preventing infections in these clients.
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Related Questions
Correct Answer is C
Explanation
Explanation: The correct answer is c. Autoimmune diseases are a potential complication of primary immunodeficiency disorders. When the immune system is deficient or dysfunctional, it may fail to distinguish between self and non-self antigens, leading to the development of autoimmune diseases.
Incorrect choices:
a. Hypertension is a condition characterized by high blood pressure and is not directly related to primary immunodeficiency disorders.
b. Chronic fatigue syndrome is a complex disorder with unknown causes and is not directly related to primary immunodeficiency disorders.
d. Diabetes mellitus is a metabolic disorder caused by insufficient insulin production or insulin resistance and is not directly related to primary immunodeficiency disorders.
Correct Answer is A
Explanation
Explanation: The correct answer is a. The procedure will assess the function of the client's immune system. A bone marrow aspiration is a diagnostic procedure that involves extracting a sample of bone marrow to evaluate the production and function of blood cells, including immune cells.
Incorrect choices:
b. A bone marrow aspiration does not involve removing lymph nodes. It is a procedure specifically focused on obtaining a bone marrow sample.
c. General anesthesia is not typically used for a bone marrow aspiration. Instead, local anesthesia is administered to numb the area around the bone marrow site.
d. A bone marrow aspiration is not a blood test to measure circulating antibodies. It is used to evaluate the bone marrow's cellular components, not circulating antibodies.
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