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.

Answer and Explanation

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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Correct Answer is C

Explanation

Explanation: The correct answer is c. Ensuring the client receives antiretroviral therapy (ART) as prescribed. ART is the mainstay of treatment for HIV infection and is essential for suppressing viral replication, improving immune function, and preventing disease progression.

Incorrect choices:

a. Encouraging strenuous physical activities is not recommended for clients with HIV infection, as it may place additional stress on the immune system and exacerbate symptoms.

b. While a balanced diet is essential for overall health, there is no specific evidence that a diet high in raw fruits and vegetables alone can boost the immune system sufficiently to manage HIV infection.

d. Clients with HIV infection should follow infection control precautions to prevent the transmission of the virus to others. Interacting freely with other clients may put them and others at risk of infection transmission.

A. X-linked agammaglobulinemia (XLA) B. Selective immunoglobulin A (IgA) deficiency C. Ataxia-telangiectasia D. DiGeorge syndrome

Correct Answer is C

Explanation

The correct answer is c. Ataxia-telangiectasia. Ataxia-telangiectasia is a rare genetic disorder that affects the cerebellum, causing poor muscle coordination (ataxia) and small, dilated blood vessels (telangiectasias). It also leads to defective T-cell function, making affected individuals more susceptible to infections.

Incorrect choices:

a. X-linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder that primarily affects B-cell function, leading to a lack of mature B cells and low levels of immunoglobulins, but does not involve defective T-cell function.

b. Selective immunoglobulin A (IgA) deficiency is characterized by a deficiency of IgA, but it does not typically lead to defective T-cell function.

d. DiGeorge syndrome is caused by a deletion on chromosome 22 and primarily affects the development of certain organs, including the thymus and parathyroid glands, resulting in T-cell deficiency. While it may lead to some B-cell abnormalities, defective T-cell function is the hallmark of this disorder.

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A nurse is caring for a client with immunodeficiency disorder. Which of the following nursing considerations is appropriate for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with human immunodeficiency virus (HIV) infection. Which intervention should the nurse include in the client's plan of care?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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

The nurse is caring for a client with immunodeficiency disorder. Which nursing intervention should be included in the care plan?

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

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

Which of the following diagnostic tests is commonly used to assess immune function in individuals suspected of having an immunodeficiency disorder?

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 clinical manifestations is commonly seen in individuals with 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?